BRIDGE WELLNESS AND ACUPUNCTURE INC NPI 1861202863

NPI Information

  • NPI: 1861202863
  • Provider Name: BRIDGE WELLNESS AND ACUPUNCTURE INC
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Organization
  • Address: 900 S ELISEO DR STE 104
    GREENBRAE, CA
    ZIP 94904
  • Phone: (415) 676-1832

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NPI Details

BRIDGE WELLNESS AND ACUPUNCTURE INC is an acupuncturist in Greenbrae, CA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. BRIDGE WELLNESS AND ACUPUNCTURE INC NPI is 1861202863. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

900 S ELISEO DR STE 104
GREENBRAE, CA
ZIP 94904-152
Phone: (415) 676-1832

The provider's authorized official is Amanda C Sullivan Antonetti .
The authorized official title is Owner and has the following contact phone number (415) 676-1832.

The enumeration date for this NPI number is 1/10/2025 and was last updated on 1/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1171100000XAcupuncturistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11447208491OTHERCALIFORNIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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