Provider Demographics
NPI:1871987909
Name:BRIDGE TRANSITIONAL CARE PHYSICIANS LLC
Entity type:Organization
Organization Name:BRIDGE TRANSITIONAL CARE PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-367-7997
Mailing Address - Street 1:2424 N FEDERAL HWY
Mailing Address - Street 2:SUITE 455
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7735
Mailing Address - Country:US
Mailing Address - Phone:561-367-7997
Mailing Address - Fax:561-892-8500
Practice Address - Street 1:2424 N FEDERAL HWY
Practice Address - Street 2:SUITE 455
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7735
Practice Address - Country:US
Practice Address - Phone:561-367-7997
Practice Address - Fax:561-892-8500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty