Individual provider Active NPI

Aaron Bridwell, D.C.

  • Chiropractor
  • Bay City, TX
National Provider Identifier
1891244323
Registry record updated Sep 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13306 Issued in TX
Practice address
1509 7TH St
Bay City, TX 77414-4923
Phone
(979) 244-2900
Fax
(979) 244-4554
NPI assigned
Sep 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13306 TX Primary

Addresses

Primary practice location

1509 7TH St
Bay City, TX 77414-4923

Mailing address

1509 7TH St
Bay City, TX 77414-4923
Phone (979) 244-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161222000875 TX Practitioner - Chiropractic 5395033161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lamininvault CorpGroup PAC ID 8527323237, 2 clinicians

Practice addresses (Care Compare)

113 Abner Jackson Pkwy
Suite C
Lake Jackson, TX 77566-5156
Phone (979) 480-9922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13306TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lamininvault, Corp. Chiropractor CurrentSince Apr 1, 2018 Accepting new patients
Cook Chiropractic, Inc. Chiropractor PastSince Nov 30, 2005 Accepting new patients

Locations

113 Abner Jackson Pkwy
Ste C
Lake Jackson, TX 77566
Phone (979) 480-9922

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1891244323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 7TH ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144923",
            "telephone_number": "979-244-2900",
            "fax_number": "979-244-4554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 7TH ST",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774144923",
            "telephone_number": "979-244-2900",
            "fax_number": "979-244-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDWELL",
        "first_name": "AARON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.