BRIDGEPORT FAMILY HEALTH LLC


Address: 1381 Reservoir Avenue, Bridgeport, CT 06606-2502
Phone: 2033715197

BRIDGEPORT FAMILY HEALTH LLC (NPI# 1538207295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538207295
Entity Type Organization
Organization Name BRIDGEPORT FAMILY HEALTH LLC
Practice Address 1381 Reservoir Avenue
Bridgeport
CT 06606-2502
Practice Telephone 2033715197
Practice Fax Number 2033716118
Mailing Telephone 2033715197
Mailing Fax Number 2033716118
Enumeration Date 2007-02-02
Last Update Date 2013-06-03
Authorized Official Name DR. DENNIS J WILLIAMS (PHYSICIAN)
Authorized Official Telephone 2033715197
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 030225 CT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CT 001302257 05
CT GROUP NPI 1538207295 01
CT MEDICARE NPI 1093715955 01

Office Location

Street Address 1381 RESERVOIR AVENUE
City BRIDGEPORT
State CT
Zip Code 06606-2502

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962023408 Madeline Acquilano Pharmacist 2800 East Main St, Bridgeport, CT 06606 2020-05-06
1578192001 Karin Alexandra Skalina Student in an Organized Health Care Education/Training Program 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 2020-04-06
1720641293 Valeriia Klymenko Student in an Organized Health Care Education/Training Program 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2019-04-19
1821579996 Ashley Liese Nurse Practitioner Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 2018-08-27
1699261289 Gema Estefania Giler-sacoto Student in an Organized Health Care Education/Training Program St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 2018-07-06
1114418365 Jona Bumci Physician Assistant 3180 Main St Ste 304, Bridgeport, CT 06606 2018-05-23
1023471299 Qmg4, LLC Family Medicine 4200 Main Street, Bridgeport, CT 06606 2016-04-04
1861867442 Marie Dorothea Lisieski Social Worker 2400 Main Street, Bridgeport, CT 06606 2015-12-08
1548603384 Gerald E. Hedley Internal Medicine 390 Charles Street Unit #101, Bridgeport, CT 06606 2013-04-11
1487997581 Gerald Micalizzi, M.d., LLC Radiology 558 Fairview Avenue, Bridgeport, CT 06606 2013-03-27
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780158287 Rejuvenation Medspa Family Medicine 1400 Johnson Ave Ste 4a, Bridgeport, WV 26330-1063 2019-01-17
1497244321 Sanitas of Connecticut LLC Family Medicine 4551 Main St, Bridgeport, CT 06606-1818 2018-05-07
1023471299 Qmg4, LLC Family Medicine 4200 Main Street, Bridgeport, CT 06606 2016-04-04
1013395755 Clinisanitas, PC Family Medicine 4543 Main St, Bridgeport, CT 06606-1818 2015-05-14
1982941431 Razia Sultana Hashmi Family Medicine 115 Highland Ave, Bridgeport, CT 06604-3549 2013-01-03
1508025594 Awais Malik Family Medicine 754 Clinton Ave, Bridgeport, CT 06604-2301 2008-06-04
1508062423 Bridgeport Family Practice Obgyn Clinic Family Medicine 615 Kendall Ave, Bridgeport, AL 35740 2007-06-26
1760505887 Vinai Montricul Family Medicine 47910 Al Highway 277, Bridgeport, AL 35740-7206 2007-04-06
1942341060 Zijad Sabovic Family Medicine 3000 Park Ave, Bridgeport, CT 06604-1105 2007-02-09
1124174917 Laxmi LLC Family Medicine 47005 Al Highway 277, Bridgeport, AL 35740-7205 2007-01-26
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Competitor

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City BRIDGEPORT
Zip Code 06606

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Dataset Information

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.

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