Organization Active NPI

William C Bridges MD & Associates

  • Physical Medicine & Rehabilitation Physician
  • Fort Worth, TX
National Provider Identifier
1922061571
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
WILLIAM C BRIDGES MD & ASSOCIATES
Practice address
425 Alabama Ave
Fort Worth, TX 76104-1022
Phone
(817) 820-3400
Fax
(817) 820-3470
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Authorized official

Name
Mr. William C Bridges, MDNPI 1750344065
Title
President
Phone
(817) 741-6408

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

425 Alabama Ave
Fort Worth, TX 76104-1022

Mailing address

8553 N Beach St
319
Fort Worth, TX 76244-4919
Phone (817) 290-2119

Other identifiers 2

IdentifierTypeStateIssuer
00981ROtherTXBCBS
156052601MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050921000255 TX Part B Supplier - Clinic/Group Practice 9830123785 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

8553 N Beach St
Fort Worth, TX 76244
Phone (682) 215-4657

1300 S University Dr
Ste 620
Fort Worth, TX 76107
Phone (817) 339-8030

425 Alabama Ave
Ft Worth, TX 76104
Phone (817) 820-3400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324944000000",
    "number": "1922061571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8553 N BEACH ST",
            "address_2": "319",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444919",
            "telephone_number": "817-290-2119",
            "fax_number": "817-549-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 ALABAMA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041022",
            "telephone_number": "817-820-3400",
            "fax_number": "817-820-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C BRIDGES MD & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2011-12-27",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-741-6408",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00981R",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156052601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.