NPI Code Details Logo

NPI 1801505854

NPI 1801505854 : BRIDGINGLIFE, INC. : WESTMINSTER, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1801505854
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BRIDGINGLIFE, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/18/2022
-----------------------------------------------------
    Last Update Date     |    03/05/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    292 STONER AVE 
-----------------------------------------------------
    City                 |    WESTMINSTER
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21157-5629
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    410-871-8000
-----------------------------------------------------
    Fax                  |    410-871-7242
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    292 STONER AVE 
-----------------------------------------------------
    City                 |    WESTMINSTER
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    21157-5629
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    410-871-8000
-----------------------------------------------------
    Fax                  |    410-871-7242
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CFO
-----------------------------------------------------
    Name                 |     MICHAEL  MYERS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    410-871-6114
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    2084H0002X
-----------------------------------------------------
    Taxonomy Name        |    Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.