BRIDGEPORT EXPRESS CARE INC – NPI #1912142001
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

BRIDGEPORT EXPRESS CARE INC is a provider located in BRIDGEPORT, WV. NPPES has assigned the NPI number 1912142001 to BRIDGEPORT EXPRESS CARE INC on December 04, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Jan 03, 2025. 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 BRIDGEPORT EXPRESS CARE INC below.

NPI Profile for
BRIDGEPORT EXPRESS CARE INC

NPI Number
1912142001
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRIDGEPORT EXPRESS CARE INC
Primary location
1370 JOHNSON AVE FL 1
BRIDGEPORT, WV 26330-1492
Phone: (304) 842-3330 Fax: (304) 842-3303
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TIMOTHY PEASAK
PRESIDENT
Phone: (304) 842-3330
Updated
Certification Date
Jan 03, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BRIDGEPORT EXPRESS CARE INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWV3810013952
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
208D00000X
- General Practice (Primary)

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.