Kenneth R Bridges, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

629915 Issued in TX

Practice address

7130 Bell St
Amarillo, TX 79109-7003

Phone

(806) 373-4010

Fax

(806) 331-6373

NPI assigned

Apr 22, 2008

Last updated

Apr 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Amarillo Medical Group LLC

  • General Practice Physician
  • Amarillo, TX
  • NPI 1952573461
  NPD (past)
• High Plains Medical Group, LLC

  • General Practice Physician
  • Amarillo, TX
  • NPI 1982935771
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1689848624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 BELL ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791097003",
            "telephone_number": "806-373-4010",
            "fax_number": "806-331-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 BELL ST",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791097003",
            "telephone_number": "806-373-4010",
            "fax_number": "806-331-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "629915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian E Sicher DPM PA
• Brian E. Sicher, DPM PA (Sicher Foot Center)
• Brian Haseloff MD PA
• Brian S Murrell, M.D., P.a.
• Kate R Bridges, NP
• Walter Bridges, MD
• Joshua Kenneth Briggs, DO
• Amber Brinkley, M.S. CCC-SLP
• Daniel Brinkman, OD
• Charles Edward Brinson Jr.

• Family Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.