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BRIDGEPORT HOME MEDICAL SUPPLY
NPI 1356308480
Durable Medical Equipment & Medical Supplies - Customized Equipment in Bridgeport, MI

Active since May 01, 2006
6226 DIXIE HWY, BRIDGEPORT, MI 48722(989) 777-3286(989) 777-3384 Get Directions Write a Review

NPPES record last updated: December 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bridgeport Home Medical Supply NPPES

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

BRIDGEPORT HOME MEDICAL SUPPLY (NPI 1356308480) is a healthcare organization registered as a customized equipment in Bridgeport, Michigan and active in the NPI registry since May 2006. The organization lists Karen Marie Boettcher, Vice President, as its authorized official.

NPPES Registry Identity

NPI1356308480
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameBRIDGEPORT PHARMACY, INC
Location Address6226 DIXIE HWYBridgeport, MI 48722-9513
Mailing Address6226 Dixie HwyBridgeport, MI 48722-9513 · (989) 777-3286 · Fax (989) 777-3384
Phone(989) 777-3286
Fax(989) 777-3384
Organization SubpartYesParent: Bridgeport Pharmacy Inc
Authorized OfficialKaren Marie BoettcherVice President · (989) 777-3286
Enumeration DateMay 1, 2006
Last NPPES UpdateDecember 10, 2010
✔ NPI 1356308480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Customized EquipmentSuppliers
Taxonomy Code332BC3200X
License✔ Licensed in MI · 10657A
6226 DIXIE HWY, Bridgeport, MI 48722
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Other Names 1

Doing Business AsBridgeport Home Medical Supply

Other Identifiers 3

Medicare NSC1300560001MI
Medicaid4226131MI
Other0G30386MI · Blue Cross Blue Shield

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 Bridgeport Pharmacy, Inc's NPI number?

The NPI number for Bridgeport Pharmacy, Inc is 1356308480. It was assigned to this organization in the NPPES registry on May 1, 2006. The provider is doing business as Bridgeport Home Medical Supply.

Where is Bridgeport Pharmacy, Inc located?

Bridgeport Pharmacy, Inc is located at 6226 Dixie Hwy, Bridgeport, MI 48722. The listed phone number is (989) 777-3286.

What is Bridgeport Pharmacy, Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Bridgeport Pharmacy, Inc was last updated on December 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.