BRIDGEPORT FAMILY MEDICINE LLC
NPI 1548642283
Family Medicine in Bridgeport, CT
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
Specialties & Licenses 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)
Bridgeport Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Bridgeport Family Medicine LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 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, CTCertificate of Waiver 07D2197677
Bridgeport Family Medicine · Bridgeport, CTFrequently 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.
Is Bridgeport Family Medicine LLC enrolled in Medicare?
Yes. Bridgeport Family Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bridgeport Family Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Bridgeport Family Medicine LLC. 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. The largest specialties are Nurse Practitioner (3), Family Practice (2) and Internal Medicine (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
What insurance does Bridgeport Family Medicine LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Bridgeport Family Medicine LLC 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 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.
# Bridgeport Family Medicine Llc · NPI 1548642283
Family Medicine organization in Bridgeport, Connecticut. Organization record, active in the CMS NPPES registry since June 18, 2015.
## Identity
- **NPI:** 1548642283 (Entity type: Organization)
- **Enumerated:** June 18, 2015
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Awais Malik, MEDICAL DIRECTOR
## Practice location
- **Address:** 754 CLINTON AVE, Bridgeport, CT 06604
- **Phone:** (203) 243-6018
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Family Practice (2), Internal Medicine (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 18, 2015
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1548642283) · Data from the CMS NPPES public registry.