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BRIDGEPORT FAMILY MEDICINE LLC
NPI 1548642283
Family Medicine in Bridgeport, CT

Active since June 18, 2015CLIA Certified · 2 labs
754 CLINTON AVE, BRIDGEPORT, CT 06604(203) 243-6018 Get Directions Write a Review

NPPES record last updated: June 18, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Bridgeport Family Medicine Llc NPPES

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

BRIDGEPORT FAMILY MEDICINE LLC (NPI 1548642283) is a healthcare organization registered as a family medicine in Bridgeport, Connecticut and active in the NPI registry since June 2015. The organization holds 2 active CLIA laboratory certificates and lists Awais Malik, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1548642283
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBRIDGEPORT FAMILY MEDICINE LLC
Location Address754 CLINTON AVEBridgeport, CT 06604
Mailing Address112 Sunnyridge AveFairfield, CT 06824-4620 · (203) 243-6018
Phone(203) 243-6018
Organization SubpartNo
Authorized OfficialAwais MalikMedical Director · (203) 243-6018
Enumeration DateJune 18, 2015
✔ NPI 1548642283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 049851
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.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X · License 049851 (CT)
754 CLINTON AVE, Bridgeport, CT 06604
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CLIA Laboratory Certificates CMS CLIA 2

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 07D2097882

Bridgeport Family Medicine · Bridgeport, CT
Active · expires Jun 24, 2027
CLIA Number07D2097882
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorAwais Malik
Laboratory Phone(203) 243-6018
Laboratory LocationBridgeport Family Medicine754 Clinton Ave, Bridgeport, CT 06604
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D2197677

Bridgeport Family Medicine · Bridgeport, CT
Active · expires Oct 26, 2026
CLIA Number07D2197677
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorAwais Malik
Laboratory Phone(203) 923-2204
Laboratory LocationBridgeport Family Medicine754 Clinton Ave, Bridgeport, CT 06604
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 5

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

KEMONIE N WILLIAMS PA-C
Physician Assistant (Medical)
754 CLINTON AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 923-2204
EVAN JAMES GAUDETTE PA-C
General Practice
754 CLINTON AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (207) 951-3929
DR. AWAIS MALIK M.D.
Family Medicine
754 CLINTON AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 923-2204
MRS. ROSEMARY FOX FNP
Nurse Practitioner (Family)
754 CLINTON AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 923-2204
HOPE EMERY HIZA
Physician Assistant (Medical)
754 CLINTON AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 923-2204

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 Family Medicine LLC's NPI number?

The NPI number for Bridgeport Family Medicine LLC is 1548642283. It was assigned to this organization in the NPPES registry on June 18, 2015.

Where is Bridgeport Family Medicine LLC located?

Bridgeport Family Medicine LLC is located at 754 Clinton Ave, Bridgeport, CT 06604. The listed phone number is (203) 243-6018.

What is Bridgeport Family Medicine LLC's specialty?

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

Does Bridgeport Family Medicine LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Bridgeport Family Medicine LLC was last updated on June 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.