Organization · Type 2 NPI

Bainbridge Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fort Worth, TX

NPI number 1699041152 Active

Practice location

1000 Saint Louis Ave Ste 101
Fort Worth, TX 76104-3377

Call (817) 810-0379 Map

Fax (817) 870-9767

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

Another provider at this address

Marisol Alas, LCSWClinical Social Worker Fort Worth, TX NPI 1205262623

Other end-stage renal disease (esrd) treatment clinic/center providers in Fort Worth

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NPI record

NPI: 1699041152
Entity type: Organization (Type 2)
Issued: Mar 29, 2012
Last updated: Feb 20, 2026
Status: Active

Other names

<unavail>
Central Fort Worth Dialysis · doing business as
Central Fort Worth Dialysis · doing business as

Authorized official

Samuel T Wey
VP Licensure&certification
(615) 341-6641

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About NPI 1699041152

Bainbridge Dialysis LLC's National Provider Identifier is 1699041152, issued on Mar 29, 2012. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fort Worth, TX. The record was last updated on Feb 20, 2026.