Healthcare Provider Details

I. General information

NPI: 1902738826
Provider Name (Legal Business Name): CAREBRIDGE TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15100 DENNINGTON DR
BOWIE MD
20721-3257
US

IV. Provider business mailing address

15100 DENNINGTON DR
BOWIE MD
20721-3257
US

V. Phone/Fax

Practice location:
  • Phone: 301-328-1482
  • Fax:
Mailing address:
  • Phone: 301-328-1482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. NORBERT AZONGHO
Title or Position: MANAGING PARTNER
Credential:
Phone: 301-328-1482