Individual provider Active NPI

Meghan Leigh Bridges, PA-C

  • Surgical Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1952774580
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA10198 Issued in TX
Practice address
800 5TH Ave Ste 300
Fort Worth, TX 76104-7303
Phone
(817) 878-5300
Fax
(817) 878-5321
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA10198 TX Primary

Addresses

Primary practice location

800 5TH Ave Ste 300
Fort Worth, TX 76104-7303

Mailing address

800 5TH Ave Ste 300
Fort Worth, TX 76104-7303
Phone (817) 878-5300

Other names 1

  • Meghan Leigh Moore Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160503002073 TX Practitioner - Physician Assistant 7113226705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gupta DO and Associates LLCGroup PAC ID 6305879677, 8 clinicians

Practice addresses (Care Compare)

3950 S Carrier Pkwy
Suite 110 Integra Urgent Care
Grand Prairie, TX 75052-6671
Phone (469) 640-1710

7447 N Macarthur Blvd
Suite 190
Irving, TX 75063-7546

821 E Interstate 20
Weatherford, TX 76086-6745

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10198TXMDSurgical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: mbridges1527949@direct.texashealth.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1952774580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 5TH AVE STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047303",
            "telephone_number": "817-878-5300",
            "fax_number": "817-878-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 5TH AVE STE 300",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761047303",
            "telephone_number": "817-878-5300",
            "fax_number": "817-878-5321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGES",
        "first_name": "MEGHAN",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA10198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "MOORE",
            "middle_name": "LEIGH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.