Individual provider Active NPI

Thomas Richard Bridgman, D.D.S.

  • General Practice Dentistry
  • Seatac, WA
National Provider Identifier
1255428645
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00006153 Issued in WA
Practice address
18010 8TH Ave S
Seatac, WA 98148-1908
Phone
(206) 812-2460
Fax
(206) 812-2455
NPI assigned
Oct 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DE00006153 WA
General Practice Dentistry 1223G0001X DE00006153 WA Primary

Addresses

Primary practice location

18010 8TH Ave S
Seatac, WA 98148-1908

Mailing address

1333 Harbor Ave SW Apt 301
Seattle, WA 98116-1781
Phone (206) 406-2124

Other identifiers 1

IdentifierTypeStateIssuer
2267335MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141124000125 WA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8921320250

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Freydell Hays PLLC General Practice Past Accepting new patients
Namthien Vu, DDS, PLLC General Practice PastSince Nov 10, 2019 Accepting new patients
Sea Mar Community Health Centers Dentist PastSince Feb 9, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tbridgman755231@direct.multicare.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1255428645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 HARBOR AVE SW APT 301",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981161781",
            "telephone_number": "206-406-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18010 8TH AVE S",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981481908",
            "telephone_number": "206-812-2460",
            "fax_number": "206-812-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGMAN",
        "first_name": "THOMAS",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00006153",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00006153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2267335",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seatac, WA

Sources for this page

Verify at the official NPI Registry.