Provider Demographics
NPI:1053113043
Name:BRIDGINGLIFE, INC.
Entity type:Organization
Organization Name:BRIDGINGLIFE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO CHC
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-871-6114
Mailing Address - Street 1:292 STONER AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5629
Mailing Address - Country:US
Mailing Address - Phone:410-871-8000
Mailing Address - Fax:
Practice Address - Street 1:30 NORTH PL
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6200
Practice Address - Country:US
Practice Address - Phone:301-695-6618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty