CAREBRIDGE PRIMARY CARE - NPI 1457814337 - Nurse Practitioner in Cincinnati, OH

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.

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About Carebridge Primary Care NPPES

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

CAREBRIDGE PRIMARY CARE (NPI 1457814337) is a healthcare organization registered as a primary care in Cincinnati, Ohio and active in the NPI registry since April 2019. The organization lists Angela Bowman, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1457814337

Entity TypeOrganization

Primary Taxonomy363LP2300X

Legal Business NameCAREBRIDGE PRIMARY CARE

Location Address7625 CAMARGO RDCincinnati, OH 45243-3107

Mailing Address7625 Camargo RdCincinnati, OH 45243-3107

Phone(513) 528-8150

Organization SubpartYesParent: Carebridge Palliative Services Inc

Authorized OfficialAngela BowmanCredentialing Specialist · (513) 528-8779

Enumeration DateApril 9, 2019

Last NPPES UpdateJune 11, 20192 updates tracked since enumeration

✔ NPI 1457814337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

7625 CAMARGO RD, Cincinnati, OH 45243

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Other Names 1

Doing Business AsCarebridge Primary Care

Other Identifiers 1

Medicaid3031614OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP