Individual provider Active NPI

Travis Bridges, DO

  • Physical Medicine & Rehabilitation Physician
  • Lexington, KY
National Provider Identifier
1508392044
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
04958 Issued in KY
Practice address
101 N Eagle Creek Dr
Lexington, KY 40509-1806
Phone
(859) 275-4878
NPI assigned
May 3, 2017
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physical Medicine & Rehabilitation Physician 208100000X 04958 KY Primary

Addresses

Primary practice location

101 N Eagle Creek Dr
Lexington, KY 40509-1806

Mailing address

101 N Eagle Creek Dr
Lexington, KY 40509-1806
Phone (859) 275-4878

Other practice location 1

1707 Cumberland Falls Hwy Ste 5
Corbin, KY 40701-2743
Phone (859) 275-4878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210409000354 KY Practitioner - Physical Medicine and Rehabilitation 1759799877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Campbell Univ School of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manoochehr Mazloomdoost PSCGroup PAC ID 8729983218, 5 clinicians

Practice addresses (Care Compare)

101 N Eagle Creek Dr
Lexington, KY 40509-1806
Phone (859) 275-4878

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Manoochehr Mazloomdoost P S C Single Specialty CurrentSince Jul 1, 2022 Accepting new patients
Manoochehr Mazloomdoost PSC Single Specialty Current Accepting new patients

Locations

1100 Cumberland Falls Hwy
Corbin, KY 40701
Phone (859) 275-4878

1707 Cumberland Falls Hwy
Ste 5
Corbin, KY 40701
Phone (606) 528-1960

101 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 275-4878

101 N Eagle Creek Dr
#110
Lexington, KY 40509
Phone (859) 294-8320

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1508392044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N EAGLE CREEK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091806",
            "telephone_number": "859-275-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N EAGLE CREEK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091806",
            "telephone_number": "859-275-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Cumberland Falls Hwy Ste 5",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407012743",
            "country_code": "US",
            "telephone_number": "859-275-4878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "TRAVIS",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "04958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.