# BRIDGEWAY HEALTH CLINICS, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366000432
- **Authorized official:** BONNIE R BARLOW (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (850) 833-3975

## Contact information

- **Practice address:** 137 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5063
- **Practice address phone:** (850) 833-7500
- **Practice address fax:** (850) 833-7528
- **Mailing address:** 137 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5063
- **Mailing address phone:** (850) 833-7500
- **Mailing address fax:** (850) 833-7528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2019
- **Last updated:** 01/24/2020