OrganizationActive
Bridgeway Center, Inc
NPI 1174169080 · General Practice Physician · Fort Walton Beach, FL
Provider details
- NPI number
- 1174169080
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bonnie Barlow, Chief Executive Officer(850) 833-3945
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
137 Hospital Dr Ne
Fort Walton Beach, FL 32548-5015
Phone: (850) 226-8857
Fax: (850) 226-8859
Street-level locationGet directions
Mailing address
137 Hospital Dr Ne
Fort Walton Beach, FL 32548-5015
Registry dates
- Enumerated
- 2019-11-26
- Last updated
- 2024-06-12
- Certified
- 2024-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.