Active NPI
Travis Bridges, DO
- Physical Medicine & Rehabilitation Physician
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 04958
- Practice address
- 101 N Eagle Creek Dr
Lexington, KY 40509-1806 - Phone
- (859) 275-4878
- NPI assigned
- May 3, 2017
- Last updated
- Jun 4, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 73.72
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manoochehr Mazloomdoost P S C | Single Specialty | Current | 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.
-
dba Wellward Regenerative Medicine
- Pain Medicine (Anesthesiology) Physician
- Lexington, KY
- NPI 1770555492
Single Specialty
-
dba Wellward
- Pain Medicine (Anesthesiology) Physician
- Corbin, KY
- NPI 1720110182
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Lexington
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
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
- Brian Scott Coleman (Sleep Tight Diagnostics)
- Bridge Counseling & Consulting Services of Kentucky LLC (Dan Beasley, LCSW)
- Brooke Nicole Bridges, PHARMD, MS
- Lauren Bridges, APRN
- Monique Bridges
- William Scott Bridges, M.D.
- Leeandra Bridgewaters
- Alissa Briggs, PH.D.
- Caitlin Sara Briggs, M.D.
- Caroline Brown Briggs, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.