Provider Demographics
NPI:1356134027
Name:BRIDGER, WILLIAM RYAN (RN)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:RYAN
Last Name:BRIDGER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6226 STABLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4641
Mailing Address - Country:US
Mailing Address - Phone:903-802-0514
Mailing Address - Fax:
Practice Address - Street 1:6226 STABLE CREEK DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-4641
Practice Address - Country:US
Practice Address - Phone:903-802-0514
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX977428163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management