Michael J Bridgewater


Address: 4255 Bryant Irvin Rd, Suite 209, Fort Worth, TX 76109-4225
Phone: 8178750770

Michael J Bridgewater (NPI# 1336358431, PAC ID# 9032268776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1336358431
PAC ID by PECOS 9032268776
Professional Enrollment ID I20090528000546
Full Name Michael J Bridgewater
Address 4255 Bryant Irvin Rd
Suite 209
Fort Worth
TX 76109-4225
Phone Number 8178750770
Gender M
Graduation Year 1979
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
4255 Bryant Irvin Rd, Suite 209, Fort Worth, TX 76109-4225 8178750770

Organization Information

Office Location

Street Address 4255 BRYANT IRVIN RD
SUITE 209
City FORT WORTH
State TX
Zip 76109-4225

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Competitor

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City FORT WORTH
Zip Code 76109
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty FORT WORTH + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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