Key Bridge Medical Clinic LLC
NPI 1679178099 · Primary Care Clinic/Center · Lakewood, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Key Bridge Medical Clinic LLC is a Primary Care Clinic/Center organization in Lakewood, WA (NPI 1679178099).
Provider details
- NPI number
- 1679178099
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kerbie Salvador Barrantes, Owner(253) 533-3838
Specialties & taxonomies
Ambulatory Health Care Facilities
- Home Health Agency251E00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-12-02
- Last updated
- 2021-01-28
- Certified
- 2021-01-28
Frequently asked questions
- What is Key Bridge Medical Clinic LLC's NPI number?
- Key Bridge Medical Clinic LLC's National Provider Identifier (NPI) is 1679178099, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Key Bridge Medical Clinic LLC?
- Key Bridge Medical Clinic LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Key Bridge Medical Clinic LLC located?
- Key Bridge Medical Clinic LLC's practice location on file with NPPES is 11318 Bridgeport Way Sw Ste a, Lakewood, WA 98499-3054.
- What is Key Bridge Medical Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Key Bridge Medical Clinic LLC is (253) 533-3838.
- Does Key Bridge Medical Clinic LLC accept Medicare?
- Key Bridge Medical Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Key Bridge Medical Clinic LLC?
- The authorized official listed on Key Bridge Medical Clinic LLC's NPPES record is Kerbie Salvador Barrantes, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Key Bridge Medical Clinic LLC's NPI active?
- Yes — Key Bridge Medical Clinic LLC's NPI (1679178099) is active in the NPPES registry as of the last update on 2021-01-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.