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BRIDGESIDE TELEHEALTH
NPI 1861153785
Clinic/Center in Fort Worth, TX

Active since January 03, 2022
2009 TREMONT AVE, FORT WORTH, TX 76107(817) 395-6284 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2022, Jan 19, 2022, Jan 3, 2022 (3 updates tracked since 2022).

About Bridgeside Telehealth NPPES

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

BRIDGESIDE TELEHEALTH (NPI 1861153785) is a healthcare organization registered as a clinic/center in Fort Worth, Texas and active in the NPI registry since January 2022. The organization lists Susan Braddock, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861153785
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBRIDGESIDE TELEHEALTH
Location Address2009 TREMONT AVEFort Worth, TX 76107-3959
Mailing Address2009 Tremont AveFort Worth, TX 76107-3959
Phone(817) 395-6284
Organization SubpartNo
Authorized OfficialSusan BraddockCeo · (817) 395-6284
Enumeration DateJanuary 3, 2022
Last NPPES UpdateJanuary 28, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2022
✔ NPI 1861153785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2009 TREMONT AVE, Fort Worth, TX 76107
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Other Providers at the Same Location NPPES 2

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

SUSAN BRADDOCK
Clinic/Center
2009 TREMONT AVE
FORT WORTH, TX 76107
Tarrant County (817) 395-6284
BEBD TELEHEALTH
Clinic/Center
2009 TREMONT AVE
FORT WORTH, TX 76107
Tarrant County (817) 437-3077

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 Bridgeside Telehealth's NPI number?

The NPI number for Bridgeside Telehealth is 1861153785. It was assigned to this organization in the NPPES registry on January 3, 2022.

Where is Bridgeside Telehealth located?

Bridgeside Telehealth is located at 2009 Tremont Ave, Fort Worth, TX 76107. The listed phone number is (817) 395-6284.

What is Bridgeside Telehealth's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Bridgeside Telehealth was last updated on January 28, 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.