EMMANUEL E. BAUTISTA MD – NPI #1902965106
Family Medicine

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.

EMMANUEL BAUTISTA is a physician located in BRIDGEPORT, CT. NPPES has assigned the NPI number 1902965106 to EMMANUEL BAUTISTA on December 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EMMANUEL BAUTISTA below.

NPI Profile for
EMMANUEL E. BAUTISTA

NPI Number
1902965106
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EMMANUEL E. BAUTISTA
Credentials
MD
Primary location
SOUTHWEST CT MENTAL HEALTH SYSTEM ATTN SANDRA GRAZYNSKI
1635 CENTRAL AVENUE ROOM 213
BRIDGEPORT, CT 06610
Phone: (203) 551-7660 Fax: (203) 551-7481
Mailing address
SOUTHWEST CT MENTAL HEALTH SYSTEM ATTN SANDRA GRAZYNSK
1635 CENTRAL AVENUE ROOM 213
BRIDGEPORT, CT 06610
Phone: (203) 551-7660 Fax: (203) 551-7481
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
CT 025021

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.