Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keith Mycal Bridges

Individual provider Registered Nurse First Assistant · NPI 1811580814

Keith Mycal Bridges is a Nurse Practitioner in Burleson, Texas. Qualified in 2023, 3 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2021
Specialties on file
2

Practice location Address checks out

11801 S Fwy
Burleson, TX 76028-7021
Phone: (817) 293-9110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2300 Lone Star Rd, Mansfield, TX 76063-8744 — (682) 341-5000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1126443 (TX)
Registered Nurse First Assistant Taxonomy 163WR0006X · Licence 895421 (TX)

Record details

NPI number1811580814
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 19, 2021
Last updated in NPPESJune 5, 2024
Certification dateJune 5, 2024
Mailing address2705 Hartman Cir, Mansfield, TX 76063-4283

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Burleson