KEITH MYCAL BRIDGES
NPI 1811580814
Nurse Practitioner - Family in Burleson, TX

Active since February 19, 2021PECOS EnrolledAccepts Medicare Assignment
11801 SOUTH FWY, BURLESON, TX 76028(817) 293-9110 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2024, Jun 20, 2023, Feb 19, 2021 (3 updates tracked since 2021).

About Keith Mycal Bridges NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH MYCAL BRIDGES (NPI 1811580814) is an individual family provider in Burleson, Texas, licensed in Texas (1126443) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, is affiliated with Texas Health Huguley Hospital Fort Worth South, and maintains a secondary practice location in Mansfield.

NPPES Registry Identity

NPI1811580814
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameKEITH MYCAL BRIDGES
Location Address11801 SOUTH FWYBurleson, TX 76028-7021
Mailing Address2705 Hartman CirMansfield, TX 76063-4283
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 19, 2021
Last NPPES UpdateJune 5, 20243 updates tracked since enumeration
NPPES CertifiedJune 5, 2024
NPI 1811580814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · 1126443
Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License 895421 (TX)
11801 SOUTH FWY, Burleson, TX 76028

Secondary Practice Location 1

Location 12300 Lone Star RdMansfield, TX 76063-8744 · Phone (682) 341-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Keith Mycal Bridges is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911441506
PECOS Enrollment IDI20240708001719
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texas Health Huguley Hospital Fort Worth South

Acute Care Hospitals · Burleson, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450677
Location11801 South FreewayBurleson, TX 76028 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
11801 SOUTH FWY
BURLESON, TX 76028
General Acute Care Hospital
11801 SOUTH FWY
BURLESON, TX 76028
Nurse Anesthetist, Certified Registered
11801 SOUTH FWY
BURLESON, TX 76028
Nurse Practitioner (Family)
11801 SOUTH FWY, STE 338
BURLESON, TX 76028
Dietitian, Registered
11801 SOUTH FWY
BURLESON, TX 76028
Clinic/Center (Medical Specialty)
11801 SOUTH FWY
BURLESON, TX 76028
Internal Medicine
11801 SOUTH FWY
BURLESON, TX 76028
Pharmacist
11801 SOUTH FWY
BURLESON, TX 76028

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Bridges's NPI number?

The NPI number for Keith Bridges is 1811580814. It was assigned to this individual provider in the NPPES registry on February 19, 2021.

Where is Keith Bridges located?

Keith Bridges practices at 11801 South Fwy, Burleson, TX 76028. The listed phone number is (817) 293-9110.

What is Keith Bridges's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Keith Bridges enrolled in Medicare?

Yes. Keith Bridges is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Keith Bridges affiliated with any hospitals?

According to CMS data, Keith Bridges is affiliated with Texas Health Huguley Hospital Fort Worth South.

When was this NPI record last updated?

The NPPES record for Keith Bridges was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.