Bridgeway Center, Inc
NPI 1174169080ActiveOrganization· General Practice· Fort Walton Beach, FL
General Practice in Fort Walton Beach, Florida, registered in NPPES in November 2019. The authorized official on file is Bonnie R. Barlow, Chief Executive Officer.
Overview
| NPI | 1174169080 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 26, 2019 |
| Last updated in NPPES | Jun 12, 2024 |
| Certified by provider | Jun 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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