Healthcare Provider Details

I. General information

NPI: 1982524013
Provider Name (Legal Business Name): CAREBRIDGE MEDICAL TRANSPORT L.L.C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2202 DUNROBIN DR
BOWIE MD
20721-2859
US

IV. Provider business mailing address

2202 DUNROBIN DR
BOWIE MD
20721-2859
US

V. Phone/Fax

Practice location:
  • Phone: 202-766-2137
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: GRACE CHARLOTTE BAKALAG
Title or Position: OWNER
Credential:
Phone: 202-766-2137