Individual provider Active NPI

Deborah (Debbie) Ann Bridges, MD

  • Infectious Disease Physician
  • Dallas, TX
National Provider Identifier
1821054776
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
L6806 Issued in TX
Practice address
9 Medical Parkway
Suite 202
Dallas, TX 75234
Phone
(469) 914-4467
Fax
(972) 241-0459
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 35500 OK
Infectious Disease Physician 207RI0200X L6806 TX Primary

Addresses

Primary practice location

9 Medical Parkway
Suite 202
Dallas, TX 75234

Mailing address

1399 Hideaway Lane West
Hideaway, TX 75771
Phone (214) 235-3086

Other identifiers 2

IdentifierTypeStateIssuer
8AD532OtherTXBCBS
182253801MedicaidTX

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
I20061003000228 TX Practitioner - Infectious DiseasePractitioner - Internal Medicine 3173528783 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Infectious Disease Consultants, PLLC Infectious Disease CurrentSince Sep 14, 2015 Accepting new patients
University of Texas Health Science Center at Tyler-Facility-Physician Past Accepting new patients
North Texas Infectious Diseases Consultants PastSince Jan 8, 1990 Accepting new patients
North Texas Infectious Disaeases Consultants, PA PastSince May 10, 2020 Accepting new patients

Locations

935 S Baxter Ave
Ste 103
Tyler, TX 75701
Phone (903) 592-4473

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.60208

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1821054776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 HIDEAWAY LANE WEST",
            "city": "HIDEAWAY",
            "state": "TX",
            "postal_code": "75771",
            "telephone_number": "214-235-3086",
            "fax_number": "972-494-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PARKWAY",
            "address_2": "SUITE 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75234",
            "telephone_number": "469-914-4467",
            "fax_number": "972-241-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "DEBORAH (DEBBIE)",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OK",
            "license": "35500",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "L6806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AD532",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182253801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.