Bainbridge Dialysis LLC
Bainbridge Dialysis LLC is a healthcare organization registered as End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Fort Worth, TX, holding Type 2 (organization) NPI 1699041152 since 2012. The authorized official on file is Samuel Wey, Vp Licensure&Certification.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1699041152 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Bainbridge Dialysis LLC |
| Other name | <Unavail> |
| Practice address | 1000 SAINT LOUIS AVE STE 101, Fort Worth, TX, 76104 |
| Phone | 8178100379 |
| Fax | 8178709767 |
| Enumeration date | 2012-03-29 |
| Last updated in NPPES | 2026-02-20 |
Authorized official
| Name | Samuel Wey |
|---|---|
| Title | Vp Licensure&Certification |
| Phone | 6153416641 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3397549-01 | Medicaid | TX | — |
Copy-ready billing details
Provider: Bainbridge Dialysis LLC NPI: 1699041152 Taxonomy: 261QE0700X (End-Stage Renal Disease (ESRD) Treatment Clinic/Center) Address: 1000 SAINT LOUIS AVE STE 101, Fort Worth, TX, 76104
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205262623 | Marisol Alas | Individual | Clinical Social Worker | Fort Worth, TX |
Verify this record
Cross-check NPI 1699041152 against the authoritative CMS record: view Bainbridge Dialysis LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Bainbridge Dialysis LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-02-20.