BRIDGING INDEPENDENCE & GROWTH RESOURCES, LLC — NPI 1215650817 (Licensed & Credentialed Case Manager/Care Coordinator in BURNET, TX)

CMS-1500 Box 24J / 33a • NPI

1215650817

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

171M00000X

Licensed & Credentialed Case Manager/Care Coordinator

Box 32 Service Location & ZIP+4

4800 N US HIGHWAY 281, BURNET, TX, 78611-5943

✓ 9-Digit EDI 837 ZIP+4 (78611-5943)

Practice Phone & Referral Fax

(512) 773-1482

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215650817 (BRIDGING INDEPENDENCE & GROWTH RESOURCES, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1215650817` (NPI-2 Organization / Facility)
Provider / Legal Name	BRIDGING INDEPENDENCE & GROWTH RESOURCES, LLC
Plain-English Specialty	Licensed & Credentialed Case Manager/Care Coordinator NUCC Code: `171M00000X` (Case Manager/Care Coordinator)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	4800 N US HIGHWAY 281, BURNET, TX, 78611-5943
Practice Telephone / Fax	Tel: (512) 773-1482
Administrative Mailing Address	4800 N US HIGHWAY 281, BURNET, TX, 78611-5943
Enumeration & Last Sync	Enumerated: 2022-09-20 \| CMS Record Updated: 2022-09-20
Authorized Official	JOHNATHON SHAW (CFO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

4800 N US HIGHWAY 281, BURNET, TX, 78611-5943

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Plain-English Taxonomy & CMS Crosswalk (171M00000X)

What Does Taxonomy Code 171M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 171M00000X translates to:
"Licensed & Credentialed Case Manager/Care Coordinator"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Case Manager/Care Coordinator for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BRIDGING INDEPENDENCE & GROWTH RESOURCES, LLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171400000X` — Health & Wellness Coach Plain English: Licensed & Credentialed Health & Wellness Coach	State: N/A \| License: `Verified` \| Primary: Secondary
`251B00000X` — Case Management Plain English: Licensed & Credentialed Case Management	State: N/A \| License: `Verified` \| Primary: Secondary
`253Z00000X` — In Home Supportive Care Plain English: Licensed & Credentialed In Home Supportive Care	State: N/A \| License: `Verified` \| Primary: Secondary
`171M00000X` — Case Manager/Care Coordinator Plain English: Licensed & Credentialed Case Manager/Care Coordinator	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BRIDGING INDEPENDENCE & GROWTH RESOURCES, LLC (NPI #1215650817)