BRIDLEWOOD FAMILY HEALTHCARE, P.A.
NPI 1821218652
Clinic/Center - Primary Care in Flower Mound, TX
About Bridlewood Family Healthcare, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIDLEWOOD FAMILY HEALTHCARE, P.A. (NPI 1821218652) is a healthcare organization registered as a primary care in Flower Mound, Texas and active in the NPI registry since April 2007. The organization holds 2 active CLIA laboratory certificates and lists Brian D Glaser, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bridlewood Family Healthcare, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Bridlewood Family Healthcare, P.A., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (15)
Flower Mound, TX 75022
Flower Mound, TX 75022
Flower Mound, TX 75022
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D1021335
Bridlewood Family Healthcare · Flower Mound, TXCertificate of Waiver 45D2176595
Bridlewood Family Healthcare Dba 777 Urgent Care · Flower Mound, TXFrequently 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 Bridlewood Family Healthcare, P.A.'s NPI number?
The NPI number for Bridlewood Family Healthcare, P.A. is 1821218652. It was assigned to this organization in the NPPES registry on April 26, 2007.
Where is Bridlewood Family Healthcare, P.A. located?
Bridlewood Family Healthcare, P.A. is located at 3400 Long Prairie Road Suite 200, Flower Mound, TX 75022. The listed phone number is (972) 899-6300.
What is Bridlewood Family Healthcare, P.A.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Bridlewood Family Healthcare, P.A. enrolled in Medicare?
Yes. Bridlewood Family Healthcare, P.A. is registered in the Medicare PECOS enrollment system.
When is Bridlewood Family Healthcare, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Bridlewood Family Healthcare, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 3 Medicare specialties reassign their Medicare billing to Bridlewood Family Healthcare, P.A.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (11), Family Practice (3) and Internal Medicine (1). Of these, 4 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bridlewood Family Healthcare, P.A. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Bridlewood Family Healthcare, P.A. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Bridlewood Family Healthcare, P.a. · NPI 1821218652
Primary Care organization in Flower Mound, Texas. Organization record, active in the CMS NPPES registry since April 26, 2007.
## Identity
- **NPI:** 1821218652 (Entity type: Organization)
- **Enumerated:** April 26, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Brian Glaser, OWNER
## Practice location
- **Address:** 3400 LONG PRAIRIE ROAD, SUITE 200, Flower Mound, TX 75022-2706
- **Phone:** (972) 899-6300 · **Fax:** (972) 899-6020
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Texas, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 15 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (3), Internal Medicine (1); 4 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821218652) · Data from the CMS NPPES public registry.