Healthcare Provider Details

I. General information

NPI: 1447128921
Provider Name (Legal Business Name): BREAD FOR THE CITY,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 7TH ST NW
WASHINGTON DC
20001-3201
US

IV. Provider business mailing address

1525 7TH ST NW
WASHINGTON DC
20001-3201
US

V. Phone/Fax

Practice location:
  • Phone: 202-386-7020
  • Fax: 202-265-1970
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: GEORGE AUGUSTA JONES
Title or Position: CHIEF EXECUTIVE
Credential:
Phone: 202-386-7602