BRIDGEWAY HEALTH CLINICS, INC. (NPI# 1366000432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366000432 |
| Entity Type | Organization |
| Organization Name | BRIDGEWAY HEALTH CLINICS, INC. |
| Practice Address |
137 Hospital Dr Ne Fort Walton Beach FL 32548-5063 |
| Practice Telephone | 8508337500 |
| Practice Fax Number | 8508337528 |
| Mailing Telephone | 8508337500 |
| Mailing Fax Number | 8508337528 |
| Enumeration Date | 2019-06-03 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | BONNIE R BARLOW (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8508333975 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
137 HOSPITAL DR NE |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32548-5063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629042080 | Jonathan Craig Boydston | Social Worker | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2006-02-14 |
| 1356942908 | Stefanie Renee Fontaine | Case Manager/Care Coordinator | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5015 | 2020-11-02 |
| 1003415076 | Roberta Leigh Welch | Social Worker | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5015 | 2020-10-21 |
| 1174169080 | Bridgeway Center, Inc | General Practice | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5015 | 2019-11-26 |
| 1689219446 | Jordan Zemis Miles | Physician Assistant | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2019-11-15 |
| 1396393443 | Amanda Bernadette Eyer | Nurse Practitioner | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2019-09-03 |
| 1588125298 | April Bullock Burgess | Nurse Practitioner | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2019-03-26 |
| 1033679543 | Melissa Meyers | Case Manager/Care Coordinator | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2019-03-21 |
| 1801396452 | Victoria Dawn Larson | Social Worker | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2018-02-20 |
| 1619483062 | Christy Lynn Walker | Social Worker | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5063 | 2017-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718426 | Erica Darby | Pharmacist | Publix, 421 Mary Esther Cut Off, Fort Walton Beach, FL 32548 | 2020-07-30 |
| 1770136681 | Michael Cody Jones | Pharmacist | 251 Miacle Strip Pkwy Se, Fort Walton Beach, FL 32548 | 2019-07-19 |
| 1346714532 | Alison Ann Gould | Occupational Therapy Assistant | Emerald Coast Heath Care, 114 Third St, Fort Walton Beach, FL 32548 | 2019-01-22 |
| 1699217695 | Mayra Lopez | Dentist | Blvd. Gomez Morin #8569, Suite 6a, Juarez, CHIHUAHUA 32548 | 2016-11-08 |
| 1265808455 | Rajiv Tuladhar Dmd Holdings, Pllc | Dentist | 516 Mary Esther Blvd Ste 2, Fort Walton Beach, FL 32548 | 2015-08-11 |
| 1881090702 | Annette Peadro | Behavioral Analyst | 171 Brooks St, Suite 308, Fort Walton Beach, FL 32548 | 2014-11-05 |
| 1790037729 | Julie Bradfield | Counselor | 44 Shell Ave, Fort Walton Beach, FL 32548 | 2012-10-15 |
| 1740559582 | Beth Paula Ritenour | Pharmacist | 414 Mary Esther Cutoff Nw, C, Fort Walton Beach, FL 32548 | 2011-12-23 |
| 1891080867 | Okaloosa County Council On Aging | Home Health | 207 Hospital Drive, Fort Walton Beach, FL 32548 | 2011-06-17 |
| 1649580275 | Sharon Renee Wise | Counselor | 44 Shell Avenue Se, Fort Walton Beach, FL 32548 | 2010-10-17 |
| Find all providers in zip 32548 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447886916 | White Sands Integrative Medical, Inc. | General Practice | 24 Beal Pkwy Sw, Fort Walton Beach, FL 32548-5388 | 2020-03-17 |
| 1174169080 | Bridgeway Center, Inc | General Practice | 137 Hospital Dr Ne, Fort Walton Beach, FL 32548-5015 | 2019-11-26 |
| 1912119231 | Bridgeway Center Inc | General Practice | 137 Hospital Drive, Fort Walton Beach, FL 32548 | 2007-05-07 |
| 1093855587 | Nw Florida Lung Associates, Pa | General Practice | 2010 Lewis Turner Blvd, Fort Walton Beach, FL 32547-1352 | 2007-02-07 |
| 1023078102 | Karen Austin Chapman | General Practice | 221 Hospital Dr Ne, Fort Walton Beach, FL 32548-5066 | 2006-03-24 |
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| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32548 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.