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NPI Code Detail

MEDICARE: BRIDGINGLIFE, INC.

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
1207QH0002XHospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1689468498
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 : 12230 ROUNDWOOD RD
Second Line :
City : LUTHERVILLE TIMONIUM
State : MD
Zip : 21093-3233
Country : US
Telephone Number : 410-871-8000
Fax Number :
Authorized Official
Title or Position : CFO CHC
Name : MICHAEL MYERS
Credential :
Telephone Number : 410-871-8000
Provider Enumeration Date : 04/07/2025
Last Update Date : 03/05/2026

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