# CAREBRIDGE MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CAREBRIDGE MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134700859
- **Legal business name:** CAREBRIDGE MEDICAL GROUP
- **Authorized official:** MELINDA SHAW HENDERSON (PRESIDENT)
- **Authorized official phone:** (615) 585-1181

## Contact information

- **Practice address:** 101 HUDSON ST FL 21, JERSEY CITY, NJ 07302-3929
- **Practice address phone:** (615) 436-9060
- **Practice address fax:** (615) 235-9725
- **Mailing address:** 501 GREAT CIRCLE RD, NASHVILLE, TN 37228-1317
- **Mailing address phone:** (615) 436-9060
- **Mailing address fax:** (615) 235-9725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/15/2021
- **Last updated:** 04/16/2026