Individual provider Active NPI

Kevin Alan Bridge, M.D.

  • Plastic Surgery Physician
  • Abilene, TX
National Provider Identifier
1679735393
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
Q6933 Issued in TX
Practice address
4601 Antilley Rd Ste 102
Abilene, TX 79606-5914
Phone
(325) 230-6411
Fax
(325) 229-4212
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X Q6933 TX Primary

Addresses

Primary practice location

4601 Antilley Rd Ste 102
Abilene, TX 79606-5914

Mailing address

PO Box 1198
Abilene, TX 79604-1198
Phone (325) 670-4372

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160615000234 TX Practitioner - Plastic and Reconstructive Surgery 2961636899 Reassigns benefits to 2 organizations
Practice locations: Abilene, TX

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridge Plastic Surgery Skin and Vein Center PLLCGroup PAC ID 0749709970, 2 clinicians

Practice addresses (Care Compare)

4601 Antilley Rd
Abilene, TX 79606-5914
Phone (325) 230-6411

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Merit-based Incentive Payment System (MIPS)

Final score
78.51 of 100Reported as group
Quality
63.02
Promoting interoperability
100
Improvement activities
40
Cost
65.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy27
Melanoma (skin cancer) excision52
Removal of tissue1-10
Removal of skin lesions28
Removal of nail tissue1-10
Skin biopsy19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q6933TXMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendrick Medical Center Current Accepting new patients
Hendrick Provider Network Surgery CurrentSince Aug 1, 2016 Accepting new patients
Hendrick Provider Network CurrentSince Aug 1, 2016 Accepting new patients
Bridge Plastic Surgery, Skin and Vein Center, PLLC Plastic Surgery CurrentSince May 15, 2025 Accepting new patients

Locations

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

950 N 19th St
Ste 200
Abilene, TX 79601
Phone (325) 670-5320

Interoperability endpoints

  • Direct secure messaging: kevinbridge@hmc.allscriptsdirect.net

Organizations & group practices 4

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.

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1679735393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1198",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796041198",
            "telephone_number": "325-670-4372",
            "fax_number": "325-670-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 ANTILLEY RD STE 102",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065914",
            "telephone_number": "325-230-6411",
            "fax_number": "325-229-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGE",
        "first_name": "KEVIN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "Q6933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.