Dylan Edward Bridwell, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

BP10079485 Issued in TX

Practice address

301 University Blvd
Galveston, TX 77555-1120

Phone

(409) 772-2166

Fax

(409) 772-2663

NPI assigned

Jun 9, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Family Practice

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Camellia FoundationGroup PAC ID 0547439606, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• The Camellia Foundation

  dba Clinica Camellia

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1609169713
  Medicare reassignment Care Compare group NPD
• Medicos General PLLC

  dba Medicos Para La Familia

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1952402885
  Medicare reassignment NPD
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  NPD (past)

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1568191054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551120",
            "telephone_number": "409-772-2166",
            "fax_number": "409-772-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775551120",
            "telephone_number": "409-772-2166",
            "fax_number": "409-772-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDWELL",
        "first_name": "DYLAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10079485",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10079485",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary E Brechtel, D.C. DACBN
• Easton Brewer, MD
• Lauryn Beth Brewer, NNP
• Leah Marie Brick, PT
• Sandra Gail Bridges, WHCNP
• Paul Brindley, MD
• Kimberly Brisbin, LCDC
• Allison Davis Britt, M.S., C.G.C
• Ashley Brizendine-Wijayawardana, MD
• Broadway Drug Store Inc

• Family Medicine Physician in Galveston, TX
• Providers in Galveston, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.

Verify at the official NPI Registry.