BRIDGEPORT PAIN CLINIC (NPI# 1033372867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033372867 |
| Entity Type | Organization |
| Organization Name | BRIDGEPORT PAIN CLINIC |
| Practice Address |
47053 Al Highway 277 Suite B Bridgeport AL 35740-7205 |
| Practice Telephone | 2564378188 |
| Practice Fax Number | 2564378189 |
| Mailing Telephone | 2564378188 |
| Mailing Fax Number | 2564378189 |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | DR. MANUEL POUPARINAS (OWNER) |
| Authorized Official Telephone | 2564378188 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 28396 | AL | Ambulatory Health Care Facilities |
| Street Address |
47053 AL HIGHWAY 277 SUITE B |
| City | BRIDGEPORT |
| State | AL |
| Zip Code | 35740-7205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740331024 | Brandi Linette Hicks | Physician Assistant | 47053 Al Highway 277, Suite C, Bridgeport, AL 35740-7205 | 2007-01-15 |
| 1386075976 | Tennessee Valley Family Practice Associates PC | Family Medicine | 47053 Al Highway 277, Suite C, Bridgeport, AL 35740-7205 | 2013-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912312232 | Paige Cloud | Pharmacist | 50452 Al Hwy 277, Bridgeport, AL 35740 | 2014-06-25 |
| 1508062423 | Bridgeport Family Practice Obgyn Clinic | Family Medicine | 615 Kendall Ave, Bridgeport, AL 35740 | 2007-06-26 |
| 1861597114 | Jackson County Healthcare Authority | Nursing Facility/Intermediate Care Facility | 47065 Alabama Hwy 277, Bridgeport, AL 35740 | 2006-09-13 |
| 1851624407 | B & L Drugs Inc | Pharmacy | 50452 Al Highway 277, Bridgeport, AL 35740-6517 | 2009-09-15 |
| 1124174917 | Laxmi LLC | Family Medicine | 47005 Al Highway 277, Bridgeport, AL 35740-7205 | 2007-01-26 |
| 1760505887 | Vinai Montricul | Family Medicine | 47910 Al Highway 277, Bridgeport, AL 35740-7206 | 2007-04-06 |
| 1952909053 | Payne & Pitts, LLC | Pharmacy | 602 Alabama Avenue, Bridgeport, AL 35740-7513 | 2020-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528148 | Jordan Renee Morrison | Technician/Technologist | 139 Conference Center Way Ste 121, Bridgeport, WV 26330-9147 | 2020-11-05 |
| 1528666955 | Emily Mariah Wolf | Counselor | 1154 Walnut Grove Rd, Bridgeport, NY 13030-9760 | 2020-10-16 |
| 1952909053 | Payne & Pitts, LLC | Pharmacy | 602 Alabama Avenue, Bridgeport, AL 35740-7513 | 2020-10-12 |
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1710584305 | Ryan Abraham Labean | Behavior Technician | 6296 Village Square Drive, Suite 2, Bridgeport, MI 48722 | 2020-10-06 |
| 1609483411 | Michelle Ribas Alves | Behavioral Analyst | 620 Peet St, Bridgeport, CT 06606-2731 | 2020-09-25 |
| 1629684410 | Far Rahman | Nutritionist | 386 Myrtle Ave, Bridgeport, CT 06604-5443 | 2020-09-17 |
| 1093321044 | Linda L Link | Private Vehicle | 53205 Poplar Drive, Stobbs Estates, Bridgeport, OH 43912 | 2020-09-16 |
| 1457965113 | Cassandra Dewees | Case Manager/Care Coordinator | 70259 Sunset Hts, Bridgeport, OH 43912-8726 | 2020-09-01 |
| 1437763166 | Emily Ann Haws | Case Manager/Care Coordinator | 203 Willow Greene Dr, Bridgeport, WV 26330-7974 | 2020-09-01 |
| Find all providers in BRIDGEPORT | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326594227 | Apple Rehab | Clinic/Center | 3275 Main St Apt 104, Bridgeport, CT 06606-4231 | 2016-08-30 |
| 1730421397 | Eclectic Physical Therapy LLC | Clinic/Center | 2889 Fairfield Ave, Bridgeport, CT 06605-3211 | 2013-03-21 |
| 1679719801 | Wise Clinical Care Associates | Clinic/Center | 2202 Us Highway 380 Ste 112, Bridgeport, TX 76426-2177 | 2008-12-17 |
| 1356420806 | Christensen Chiropractic Clinic, P.C. | Clinic/Center | 805 Main Street, Bridgeport, NE 69336-0759 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670080 | Altadena Eye Care | Clinic/Center | 2409 Acton Rd Ste 161, Vestavia, AL 35243-2939 | 2020-08-17 |
| 1447877584 | Northern Lights Chiropractic L.L.C. | Clinic/Center | 2709 19th Pl S, Homewood, AL 35209-1919 | 2020-07-05 |
| 1033736749 | Psychotherapy/ Clinical Services LLC | Clinic/Center | 2622 Jordan Ln Nw, Huntsville, AL 35816-1014 | 2020-06-29 |
| 1598384265 | Ivy Leaf Health & Wellness LLC | Clinic/Center | 5585 Park Side Cir, Hoover, AL 35244-5124 | 2020-04-13 |
| 1083240618 | Patricia Kyl Padgett | Clinic/Center | 3206 20th Ave, Valley, AL 36854-2951 | 2020-03-16 |
| 1659905610 | Valley Vascular Access Center, LLC | Clinic/Center | 4700 Whitesburg Dr Sw Ste 300, Huntsville, AL 35802-1685 | 2020-02-28 |
| 1508407990 | Harrison Medical Consulting LLC | Clinic/Center | 146 Augusta Trl, Cullman, AL 35057-6990 | 2019-10-07 |
| 1174188650 | Clears Clinic Corporation | Clinic/Center | 28720 Us Highway 98 Ste 1, Daphne, AL 36526-7268 | 2019-05-09 |
| 1255892865 | Diabetes and Wellness Clinic of The Shoals | Clinic/Center | 1110 E 6th St Suite E, Muscle Shoals, AL 35661 | 2019-03-27 |
| 1558826818 | Healthcare and Beyond, LLC | Clinic/Center | 13951 Highway 231 431 N, Hazel Green, AL 35750-8651 | 2019-01-31 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 35740 |
Please comment or provide details below to improve the information on BRIDGEPORT PAIN CLINIC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.