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BRIDGEWAY CENTER, INC
NPI 1174169080
General Practice in Fort Walton Beach, FL

Active since November 26, 2019
137 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548(850) 226-8857(850) 226-8859 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2024, Nov 26, 2019 (2 updates tracked since 2019).

About Bridgeway Center, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGEWAY CENTER, INC (NPI 1174169080) is a healthcare organization registered as a general practice in Fort Walton Beach, Florida and active in the NPI registry since November 2019. The organization lists Bonnie R Barlow, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1174169080
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBRIDGEWAY CENTER, INC
Location Address137 HOSPITAL DR NEFort Walton Beach, FL 32548-5015
Mailing Address137 Hospital Dr NeFort Walton Beach, FL 32548-5015 · (850) 226-8857 · Fax (850) 833-7528
Phone(850) 226-8857
Fax(850) 226-8859
Organization SubpartNo
Authorized OfficialBonnie R BarlowChief Executive Officer · (850) 833-3945
Enumeration DateNovember 26, 2019
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1174169080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
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
137 HOSPITAL DR NE, Fort Walton Beach, FL 32548
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERTA LEIGH WELCH LCSW
Social Worker (Clinical)
137 HOSPITAL DR NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 833-7500
MS. ALYSE B REEVES CBHCMS
Social Worker
137 HOSPITAL DR NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 833-7500
ROBERT NICHOLAS DONOFRIO ARNP
Nurse Practitioner
137 HOSPITAL DR NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 833-7451
MELISSA MEYERS
Case Manager/Care Coordinator
137 HOSPITAL DR NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 376-4709
DR. JOHN DAVID SITES M.D.
Family Medicine
137 HOSPITAL DR NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 226-8857
MS. REEMEKA LASHA WILSON MASTER OF SCIENCE
Case Manager/Care Coordinator
137 HOSPITAL DR NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 865-7064
COZETTE DRAKE LCSW
Social Worker (Clinical)
137 HOSPITAL DR NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 833-7451
MS. SHANNON ELIZABETH HOBSON LCSW
Social Worker (Clinical)
137 HOSPITAL DR NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 833-7451

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridgeway Center, Inc's NPI number?

The NPI number for Bridgeway Center, Inc is 1174169080. It was assigned to this organization in the NPPES registry on November 26, 2019.

Where is Bridgeway Center, Inc located?

Bridgeway Center, Inc is located at 137 Hospital Dr NE, Fort Walton Beach, FL 32548. The listed phone number is (850) 226-8857.

What is Bridgeway Center, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Bridgeway Center, Inc was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.