BRIDGE CITY FAMILY MEDICAL CLINIC, PC
NPI 1548330715
Clinic/Center - Multi-Specialty in Portland, OR
About Bridge City Family Medical Clinic, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIDGE CITY FAMILY MEDICAL CLINIC, PC (NPI 1548330715) is a healthcare organization registered as a multi-specialty in Portland, Oregon and active in the NPI registry since November 2006. The organization lists Theresa Bunker, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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)
Bridge City Family Medical Clinic, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Bridge City Family Medical Clinic, PC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 13 within 10 miles. They are listed nearest first.
Clinicians, nearest first (14)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bridge City Family Medical Clinic, PC's NPI number?
The NPI number for Bridge City Family Medical Clinic, PC is 1548330715. It was assigned to this organization in the NPPES registry on November 8, 2006.
Where is Bridge City Family Medical Clinic, PC located?
Bridge City Family Medical Clinic, PC is located at 1410 NE 106th Ave, Portland, OR 97220. The listed phone number is (503) 460-0405.
What is Bridge City Family Medical Clinic, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Bridge City Family Medical Clinic, PC enrolled in Medicare?
Yes. Bridge City Family Medical Clinic, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bridge City Family Medical Clinic, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Bridge City Family Medical Clinic, PC. 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. Of these, 8 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Bridge City Family Medical Clinic, PC accept?
Health plans from Moda Health Plan, Inc. list Bridge City Family Medical Clinic, PC 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 Bridge City Family Medical Clinic, PC was last updated on September 30, 2011. 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.
# Bridge City Family Medical Clinic, Pc · NPI 1548330715
Multi-Specialty organization in Portland, Oregon. Organization record, active in the CMS NPPES registry since November 8, 2006.
## Identity
- **NPI:** 1548330715 (Entity type: Organization)
- **Enumerated:** November 8, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Theresa Bunker, OWNER
## Practice location
- **Address:** 1410 NE 106TH AVE, Portland, OR 97220-3934
- **Phone:** (503) 460-0405 · **Fax:** (503) 460-0434
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 8 practice at this address and 13 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2011
- **Other identifiers:** Medicare PIN 118600 (OR); Medicaid 227632 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1548330715) · Data from the CMS NPPES public registry.