MANCHIN CLINIC OF BRIDGEPORT
NPI 1386019222
Family Medicine in Bridgeport, WV
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
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Manchin Clinic Of Bridgeport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Manchin Clinic Of Bridgeport, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, WVFrequently 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.
Is Manchin Clinic Of Bridgeport enrolled in Medicare?
Yes. Manchin Clinic Of Bridgeport is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Manchin Clinic Of Bridgeport?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Manchin Clinic Of Bridgeport. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 13 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.
# Manchin Clinic Of Bridgeport · NPI 1386019222
Family Medicine organization in Bridgeport, West Virginia. Organization record, active in the CMS NPPES registry since December 3, 2015.
## Identity
- **NPI:** 1386019222 (Entity type: Organization)
- **Enumerated:** December 3, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** John Manchin, OWNER
## Practice location
- **Address:** 409 W MAIN ST, Bridgeport, WV 26330-1752
- **Phone:** (304) 367-9170
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386019222) · Data from the CMS NPPES public registry.