MANCHIN CLINIC OF BRIDGEPORT
NPI 1386019222
Family Medicine in Bridgeport, WV

Active since December 03, 2015CLIA 51D2108787 · Waiver
409 W MAIN ST, BRIDGEPORT, WV 26330(304) 367-9170 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 15, 2025, Dec 3, 2015 (2 updates tracked since 2015).

About Manchin Clinic Of Bridgeport NPPES

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

MANCHIN CLINIC OF BRIDGEPORT (NPI 1386019222) is a healthcare organization registered as a family medicine in Bridgeport, West Virginia and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through July 15, 2028 and lists John Manchin, Owner, as its authorized official.

NPPES Registry Identity

NPI1386019222
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMANCHIN CLINIC OF BRIDGEPORT
Location Address409 W MAIN STBridgeport, WV 26330-1752
Mailing Address409 W Main StBridgeport, WV 26330-1752
Organization SubpartNo
Authorized OfficialJohn ManchinOwner · (304) 367-9170
Enumeration DateDecember 3, 2015
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
NPI 1386019222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
409 W MAIN ST, Bridgeport, WV 26330

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 51D2108787

Manchin Clinic Of Bridgeport · Bridgeport, WV
Active · expires Jul 15, 2028
CLIA Number51D2108787
Laboratory TypePhysician Office
Certificate Effective DateJuly 16, 2026
Certificate Expiration DateJuly 15, 2028
Laboratory DirectorDr. John Manchin
Laboratory Phone(304) 848-8800
Laboratory LocationManchin Clinic Of Bridgeport409 West Main Street, Bridgeport, WV 26330
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
409 W MAIN ST
BRIDGEPORT, WV 26330

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 Manchin Clinic Of Bridgeport's NPI number?

The NPI number for Manchin Clinic Of Bridgeport is 1386019222. It was assigned to this organization in the NPPES registry on December 3, 2015.

Where is Manchin Clinic Of Bridgeport located?

Manchin Clinic Of Bridgeport is located at 409 W Main St, Bridgeport, WV 26330. The listed phone number is (304) 367-9170.

What is Manchin Clinic Of Bridgeport's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Manchin Clinic Of Bridgeport hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 51D2108787) is associated with this NPI, valid through July 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Manchin Clinic Of Bridgeport accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Manchin Clinic Of Bridgeport as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Manchin Clinic Of Bridgeport was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.