| Bridge Medical Consultants Inc | |
|
175 N Jackson Ave Ste 202 San Jose CA 95116-1909 | |
| (669) 235-4188 | |
| (669) 235-4221 |
| Full Name | Bridge Medical Consultants Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 175 N Jackson Ave Ste 202, San Jose, California |
| Authorized Official Name and Position | Said M Ibrahimi (PRESIDENT) |
| Authorized Official Contact | 6692354188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridge Medical Consultants Inc 4847 Hopyard Rd Suite 4 Box 387 Pleasanton CA 94588-3360 Ph: () - | Bridge Medical Consultants Inc 175 N Jackson Ave Ste 202 San Jose CA 95116-1909 Ph: (669) 235-4188 |
| NPI Number | 1700276177 |
|---|---|
| Provider Enumeration Date | 01/23/2015 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Medicare PECOS PAC ID | 8224357728 |
|---|---|
| Medicare Enrollment ID | O20150505001847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700276177 | NPI | - | NPPES |
| 1700276177 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | A133381 (California) | Primary |
| Provider Name | Said Ibrahimi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376751321 PECOS PAC ID: 0648302992 Enrollment ID: I20150505001892 |
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