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COMMUNITY BRIDGES MANAGEMENT INC. NPI 1598951931


NPI Information

NPI: 1598951931
Provider Name: COMMUNITY BRIDGES MANAGEMENT, INC.

Doing Business As: COMMUNITY BRIDGES INTEGRATED & SENIOR HEALTHCARE

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
31 OAKLAND AVE
1ST FLOOR, SUITE E
PONTIAC, MI
ZIP 48342
Phone: (734) 347-1462
Get Directions

COMMUNITY BRIDGES MANAGEMENT, INC. is a general practice in Pontiac, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee COMMUNITY BRIDGES MANAGEMENT, INC. NPI is 1598951931. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Community Bridges Integrated & Senior Healthcare.

The provider's business location address is:

31 OAKLAND AVE
1ST FLOOR, SUITE E
PONTIAC, MI
ZIP 48342-019
Phone: (734) 347-1462
Fax: (810) 458-4187

The provider's authorized official is Ibraham I. Ahmed .
The authorized official title is Owner/adminsitrator and has the following contact phone number (734) 347-1462.

The enumeration date for this NPI number is 9/19/2007 and was last updated on 10/12/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice4301021837MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OP51390MEDICARE PINMICHIGAN
208-0-B5-1547-0OTHERMICHIGANBC/BS
34944183MEDICAIDMICHIGAN
411285679OTHERMICHIGANCAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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