{
  "npi": "1932034824",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "LEEVON",
    "authorized_official_last_name": "HARRIS",
    "authorized_official_name_prefix": "Ms.",
    "authorized_official_telephone_number": "9016723705",
    "authorized_official_title_or_position": "Oliver",
    "certification_date": "2026-06-14",
    "enumeration_date": "2026-06-15",
    "last_updated": "2026-06-15",
    "organization_name": "BRIDGE HEALTHCARE LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "764 E SERVICE DR UNIT A",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "COLDWATER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "386183881",
      "state": "MS",
      "telephone_number": "901-672-3705"
    },
    {
      "address_1": "764 E SERVICE DR UNIT A",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "COLDWATER",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "386183881",
      "state": "MS",
      "telephone_number": "901-672-3705"
    }
  ],
  "taxonomies": [
    {
      "code": "251E00000X",
      "desc": "Home Health",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "291U00000X",
      "desc": "Clinical Medical Laboratory",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QH0100X",
      "desc": "Clinic/Center, Health Services",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": []
  }
}