BRANCH MEDICAL CLINIC BRIDGEPORT
NPI 1083817597
Clinic/Center - Military/U.S. Coast Guard Outpatient in Bridgeport, CA

Active since June 11, 2007
MWTC BLDG 3005, BRIDGEPORT, CA 93517(760) 830-2498(760) 830-2182 Get Directions Write a Review

NPPES record last updated: October 16, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Branch Medical Clinic Bridgeport NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANCH MEDICAL CLINIC BRIDGEPORT (NPI 1083817597) is a healthcare organization registered as a military/u.s. coast guard outpatient in Bridgeport, California and active in the NPI registry since June 2007. The organization lists William M Condon, Bumed Ubo, as its authorized official.

NPPES Registry Identity

NPI1083817597
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameBRANCH MEDICAL CLINIC BRIDGEPORT
Location AddressMWTC BLDG 3005Bridgeport, CA 93517
Mailing Address1145 Sturgess Street, Box 788250, Attn: Financial TechnicianTwentynine Palms, CA 92277-8250 · (760) 830-2498 · Fax (760) 830-2182
Fax(760) 830-2182
Organization SubpartYesParent: Naval Hospital Twentynine Palms
Authorized OfficialWilliam M CondonBumed Ubo · (240) 401-3643
Enumeration DateJune 11, 2007
Last NPPES UpdateOctober 16, 2017
NPI 1083817597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
MWTC BLDG 3005, Bridgeport, CA 93517

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Branch Medical Clinic Bridgeport's NPI number?

The NPI number for Branch Medical Clinic Bridgeport is 1083817597. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Branch Medical Clinic Bridgeport located?

Branch Medical Clinic Bridgeport is located at Mwtc Bldg 3005, Bridgeport, CA 93517. The listed phone number is (760) 830-2498.

What is Branch Medical Clinic Bridgeport's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for Branch Medical Clinic Bridgeport was last updated on October 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.