Individual provider Active NPI

Rayven Leigh Bridges, DPM

  • Foot & Ankle Surgery Podiatrist
  • Katy, TX
National Provider Identifier
1346761665
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
3032 Issued in TX
Practice address
24022 Cinco Village Center Blvd Ste 240
Katy, TX 77494-3393
Phone
(832) 376-8600
Fax
(832) 376-8686
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 3032 TX Primary

Addresses

Primary practice location

24022 Cinco Village Center Blvd Ste 240
Katy, TX 77494-3393

Mailing address

24022 Cinco Village Center Blvd Ste 240
Katy, TX 77494-3393
Phone (832) 376-8600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200604000260 TX Practitioner - Podiatry 1850712589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Txfas PLLCGroup PAC ID 4789964206, 3 clinicians

Practice addresses (Care Compare)

24022 Cinco Village Ctr Blvd
Suite 240
Katy, TX 77494-3393
Phone (832) 376-8600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue11
Removal of skin lesions124
Removal of nail tissue15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3032TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Txfas PLLC Foot & Ankle Surgery CurrentSince Jul 1, 2020 Accepting new patients
Txfas PLLC Foot & Ankle Surgery CurrentSince Jul 1, 2020 Accepting new patients

Locations

24022 Cinco Village Center Blvd
Ste 240
Katy, TX 77494
Phone (281) 394-2390

16902 Southwest Fwy
Ste 21
Sugar Land, TX 77479
Phone (832) 376-8600

Organizations & group practices 2

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": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1346761665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24022 CINCO VILLAGE CENTER BLVD STE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943393",
            "telephone_number": "832-376-8600",
            "fax_number": "832-376-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24022 CINCO VILLAGE CENTER BLVD STE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943393",
            "telephone_number": "832-376-8600",
            "fax_number": "832-376-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "RAYVEN",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "3032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.