Active NPI
Mary Grace Bridges, MD
- Obstetrics & Gynecology Physician
- Odessa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- Q7016
- Practice address
- 601 N Tom Green Ave
Odessa, TX 79761-4525 - Phone
- (432) 332-0090
- Fax
- (833) 908-2112
- NPI assigned
- Apr 19, 2012
- Last updated
- Feb 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Q7016 | TX | Primary |
Addresses
Primary practice location
601 N Tom Green Ave
Odessa, TX 79761-4525
Mailing address
601 N Tom Green Ave
Odessa, TX 79761-4525
Phone (432) 332-0090
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200654770 A | Medicaid | OK | |
| 93505264 | Medicaid | NM | |
| 356781002 | Medicaid | TX | |
| 356781001 | Medicaid | TX |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
421 E 7TH St
Odessa, TX 79761-4562
Phone (432) 332-0090
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q7016 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Amarillo | Current | Accepting new patients | |
| Permian Women's Center, P.a | Obstetrics & Gynecology | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Amarillo | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Texas Holdings, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Odessa | Obstetrics & Gynecology | Current | Accepting new patients |
| Texas Tech University Health Sciences Center | Current | Accepting new patients | |
| Womens Wellness of West Texas | Obstetrics & Gynecology | Current | Accepting new patients |
| Odessa Texas Hospital Company LLC | Past | Accepting new patients | |
| Ector County Hospital District | Past | Accepting new patients | |
| Odessa Regional Hospital LP | Past | Accepting new patients |
Locations
1400 S Coulter St
Amarillo, TX 79106
Phone (806) 354-5600
1400 Wallace Blvd
Amarillo, TX 79106
Phone (806) 354-5585
5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000
4015 22nd Pl
Lubbock, TX 79410
Phone (806) 725-0000
405 N Tom Green Ave
Odessa, TX 79761
Phone (432) 580-8976
617 N Tom Green Ave
Odessa, TX 79761
Phone (432) 333-2229
617 N Tom Green Ave
Ste B
Odessa, TX 79761
Phone (432) 332-0090
701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222
701 W 5th St
#3142
Odessa, TX 79763
Phone (432) 335-2222
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/abd8726a-ad55-4f85-8206-9ee9deb6ac7b/
- mary.grace.bridges.1@21504.direct.athenahealth.com
- marygracebridges@texastech.allscriptsdirect.net
Organizations & group practices 11
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.
-
- Obstetrics & Gynecology Physician
- Austin, TX
- NPI 1083917769
-
- Obstetrics & Gynecology Physician
- Odessa, TX
- NPI 1013942861
-
dba Texas Tech UHSC Family Medicine
- Family Medicine Physician
- Amarillo, TX
- NPI 1013942150
-
- Family Medicine Physician
- Odessa, TX
- NPI 1407845084
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Odessa, TX
- NPI 1134764673
-
dba TTUHSC Pharmacy
- Pharmacy
- Lubbock, TX
- NPI 1609810977
-
dba Texas Tech UHSC OB/GYN
- Obstetrics & Gynecology Physician
- Amarillo, TX
- NPI 1043245178
-
- Obstetrics & Gynecology Physician
- Odessa, TX
- NPI 1750057014
-
dba Medical Center Hospital
- General Acute Care Hospital
- Odessa, TX
- NPI 1740273994
-
- General Acute Care Hospital
- Odessa, TX
- NPI 1801852736
-
dba Odessa Regional Medical Center
- General Acute Care Hospital
- Odessa, TX
- NPI 1306673009
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Midland Memorial Hospital
- General Acute Care Hospital
- Midland, TX
- NPI 1255325817
-
dba Odessa Regional Medical Center
- General Acute Care Hospital
- Odessa, TX
- NPI 1306673009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708473600000",
"number": "1609133362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 N TOM GREEN AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614525",
"telephone_number": "432-332-0090",
"fax_number": "833-908-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 N TOM GREEN AVE",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614525",
"telephone_number": "432-332-0090",
"fax_number": "833-908-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIDGES",
"first_name": "MARY GRACE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-19",
"last_updated": "2024-02-21",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "Q7016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200654770 A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "93505264",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "356781002",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "356781001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.