MEDICARE: BRIDGINGLIFE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1346034170
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIDGINGLIFE, INC

Provider Business Mailing Address
First Line	:	292 STONER AVE
Second Line	:
City	:	WESTMINSTER
State	:	MD
Zip	:	21157-5629
Country	:	US
Telephone Number	:	410-871-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4017 LIBERTY HEIGHTS AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21207-7545
Country	:	US
Telephone Number	:	410-871-8000
Fax Number	:

Authorized Official
Title or Position	:	VP FINANCE
Name	:	MICHAEL MYERS
Credential	:
Telephone Number	:	410-871-6816

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	03/04/2026

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Directions to “BRIDGINGLIFE, INC ” Practice Location

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