Healthcare Provider Details

I. General information

NPI: 1063334688
Provider Name (Legal Business Name): BRIDGE IT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 MURPHY DR
LEXINGTON NC
27295-2120
US

IV. Provider business mailing address

102 MURPHY DR
LEXINGTON NC
27295-2120
US

V. Phone/Fax

Practice location:
  • Phone: 336-406-2509
  • Fax:
Mailing address:
  • Phone: 336-406-2509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: BRIDGETT SHERRELL MCQUEEN
Title or Position: OWNER/OPERATOR
Credential:
Phone: 336-406-2509