Individual provider Active NPI

Robert Edward Bridge Jr., D.C.

  • Chiropractor
  • Thornton, CO
National Provider Identifier
1568565844
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4665 Issued in CO
Practice address
13762 Colorado Blvd
Unit 122
Thornton, CO 80602-6919
Phone
(303) 252-0202
Fax
(303) 252-9500
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4665 CO Primary

Addresses

Primary practice location

13762 Colorado Blvd
Unit 122
Thornton, CO 80602-6919

Mailing address

13762 Colorado Blvd
#154
Thornton, CO 80602-6919
Phone (303) 252-0202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060411000131 CO Practitioner - Chiropractic 1557370194 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Integrated Care Network LLCGroup PAC ID 0244770279, 16 clinicians

Practice addresses (Care Compare)

1823 Ford St
Suite 35
Golden, CO 80401-2546
Phone (303) 641-2254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E Bridge D.C.P.C. Chiropractor CurrentSince Apr 16, 2012 Accepting new patients
Colorado Integrated Care Network LLC CurrentSince Jun 18, 2025 Accepting new patients

Locations

1823 Ford St
Ste 35
Golden, CO 80401
Phone (303) 641-2254

13762 Colorado Blvd
Unit 122
Thornton, CO 80602
Phone (303) 252-0202

13762 Colorado Blvd
Unit 154
Thornton, CO 80602
Phone (303) 252-0202

Interoperability endpoints

  • Direct secure messaging: robert.bridge.2@29676.direct.athenahealth.com

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1568565844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13762 COLORADO BLVD",
            "address_2": "#154",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806026919",
            "telephone_number": "303-252-0202",
            "fax_number": "303-252-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13762 COLORADO BLVD",
            "address_2": "UNIT 122",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806026919",
            "telephone_number": "303-252-0202",
            "fax_number": "303-252-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGE",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "4665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.