Organization Active NPI

Mindfull NR, LLC

Doing business as Mindfull Neuro Recovery

  • Rehabilitation Clinic/Center
  • Fort Worth, TX
National Provider Identifier
1881402642
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
MINDFULL NR, LLC
Doing business as
Mindfull Neuro Recovery
Practice address
429 S Ballinger St
Fort Worth, TX 76104-1008
Phone
(817) 682-3791
NPI assigned
Dec 26, 2024
Last updated
Jan 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
William C Bridges, MD
Title
Partner/Owner
Phone
(817) 682-3791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

429 S Ballinger St
Fort Worth, TX 76104-1008

Mailing address

209 W 2ND St
Fort Worth, TX 76102-3021

Other names 1

  • Mindfull Neuro Recovery Doing business as

National Provider Directory

National Provider Directory

Locations

209 W 2nd St
Fort Worth, TX 76102

NPI Registry JSON

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1881402642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W 2ND ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761023021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 S BALLINGER ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041008",
            "telephone_number": "817-682-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULL NR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-26",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "817-682-3791",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindfull Neuro Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.