NPIMap

Individual provider Active NPI

Matthew Allen Bridges, M.D.

  • Otolaryngology Physician
  • Midlothian, VA
National Provider Identifier
1285608430
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101233287 Issued in VA
Practice address
14051 St Francis Blvd
Suite 2211
Midlothian, VA 23114-3201
Phone
(804) 378-7443
NPI assigned
Feb 15, 2006
Last updated
Mar 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101233287 VA Primary
Otolaryngology Physician 207Y00000X M8555 TX

Addresses

Primary practice location

14051 St Francis Blvd
Suite 2211
Midlothian, VA 23114-3201

Mailing address

14051 St Francis Blvd
Suite 2211
Midlothian, VA 23114-3201
Phone (804) 378-7443

Other identifiers 2

IdentifierTypeStateIssuer
8BD691OtherTXBCBSTX
194208801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060426000920 VA Practitioner - Otolaryngology 4486664091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Virginia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Ear Nose and Throat Specialists PCGroup PAC ID 4284633934, 7 clinicians

Practice addresses (Care Compare)

1 Park W Cir
Suite 200
Midlothian, VA 23114-5552
Phone (540) 345-3556

1501 Maple Ave
Suite 205
Richmond, VA 23226-2553
Phone (804) 525-4231

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M8555TXMDOtolaryngology Physician
0101233287VAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Ear, Nose & Throat Specialists PC Otolaryngology CurrentSince Jul 1, 2009 Accepting new patients

Locations

1 Park West Cir
Ste 200
Midlothian, VA 23114
Phone (804) 378-7443

14051 St Francis Blvd
Ste 2211
Midlothian, VA 23114
Phone (804) 378-7443

1501 Maple Ave
Ste 205
Richmond, VA 23226
Phone (804) 525-4231

Organizations & group practices 1

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

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1285608430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14051 ST FRANCIS BLVD",
            "address_2": "SUITE 2211",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143201",
            "telephone_number": "804-378-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14051 ST FRANCIS BLVD",
            "address_2": "SUITE 2211",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143201",
            "telephone_number": "804-378-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "MATTHEW",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101233287",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "M8555",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8BD691",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194208801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.