{"npi":"1821711706","type":"NPI-2","status":"active","name":{"display":"Bridge Integrating Group Practice LLC","other":[],"organization_name":"BRIDGE INTEGRATING GROUP PRACTICE LLC","authorised_official":"Ann Stewart"},"specialty":{"primary_taxonomy":"163WP0808X","primary_taxonomy_description":"Psychiatric/Mental Health Registered Nurse","slug":"psychiatric-mental-health-registered-nurse","schema_org_specialty":null,"all":[{"code":"163WP0808X","description":"Psychiatric/Mental Health Registered Nurse","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"6600 YORK RD STE 103","city":"BALTIMORE","state":"MD","postal_code":"212122092","country_code":"US","phone":"4433845255"},{"purpose":"MAILING","street_1":"6600 YORK RD STE 103","city":"BALTIMORE","state":"MD","postal_code":"212122092","country_code":"US","phone":"4433845255","fax":"4433845250"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1962150680","state":"MD","issuer":null},{"type_code":"05","label":"Medicaid","value":"100279136","state":"MD","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20230414002244","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MD","pac_id":"8224403720"}]},"enumeration_date":"2022-09-26","last_updated":"2023-05-19","_meta":{"source":"NPPES","snapshot_date":"2023-05-19","doc_url":"https://findmynpi.com/api"}}