BRIDGEPORT FAMILY MEDICINE CLINIC
NPI 1821149816
General Acute Care Hospital - Rural in Bridgeport, CA

Active since January 16, 2007
221 TWIN LAKES ROAD, BRIDGEPORT, CA 93517(760) 932-7011(760) 932-7180 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bridgeport Family Medicine Clinic NPPES

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

BRIDGEPORT FAMILY MEDICINE CLINIC (NPI 1821149816) is a healthcare organization registered as a rural in Bridgeport, California and active in the NPI registry since January 2007. The organization lists Melanie Van Winkle, Chief Financial Offi, as its authorized official.

NPPES Registry Identity

NPI1821149816
Entity TypeOrganization
Primary Taxonomy282NR1301X
Legal Business NameSOUTHERN MONO HEALTH CARE DISTRICT
Location Address221 TWIN LAKES ROADBridgeport, CA 93517
Mailing AddressPo Box 660Mammoth Lakes, CA 93546-0660 · (760) 934-3311 · Fax (760) 924-4023
Fax(760) 932-7180
Organization SubpartNo
Authorized OfficialMelanie Van WinkleChief Financial Offi · (760) 934-3311
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMarch 4, 2013
✔ NPI 1821149816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care Hospital · RuralHospitals
Taxonomy Code282NR1301X
License✔ Licensed in CA · 240000008
221 TWIN LAKES ROAD, Bridgeport, CA 93517

Other Names 1

Doing Business AsBridgeport Family Medicine Clinic

Other Identifiers 1

Medicare OSCAR/certification058640CA

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 Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

113

Medicare enrollment records show 113 clinicians reassign Medicare billing to Bridgeport Family Medicine Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Physical Therapist in Private Practice14
Emergency Medicine12
Orthopedic Surgery12
Anesthesiology11
Diagnostic Radiology8
Pediatric Medicine7
Certified Registered Nurse Anesthetist (CRNA)5
Internal Medicine5
21 other specialties39

Nearest to this location (20)

See all 113
Clinical Psychologist
NPI 1689129231
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 924-4333
✔ PECOS✔ Accepts Medicare44 mi
Orthopedic Surgery
NPI 1972794097
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 934-3311
✔ PECOS✔ Accepts Medicare44 mi
Clinical Psychologist
NPI 1760701023
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 924-4333
✔ PECOS✔ Accepts Medicare44 mi
Orthopedic Surgery
NPI 1861548448
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 934-3311
✔ PECOS✔ Accepts Medicare44 mi
General Surgery
NPI 1568922797
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 934-3311
✔ PECOS✔ Accepts Medicare44 mi
Dermatology
NPI 1013160563
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 934-3311
✔ PECOS✔ Accepts Medicare44 mi
General Surgery
NPI 1699819086
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 924-4014
✔ PECOS✔ Accepts Medicare44 mi
Family Practice
NPI 1528113628
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 934-2551
✔ PECOS✔ Accepts Medicare44 mi
Emergency Medicine
NPI 1811042468
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 924-4032
✔ PECOS44 mi
Physical Therapist in Private Practice
NPI 1861969370
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 934-7302
✔ Accepts Medicare45 mi
Anesthesiology
NPI 1013062660
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 924-4078
✔ PECOS45 mi
Obstetrics/Gynecology
NPI 1578641601
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 934-3311
✔ PECOS✔ Accepts Medicare45 mi
Pediatric Medicine
NPI 1366678930
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(630) 212-6605
✔ PECOS45 mi
Pediatric Medicine
NPI 1013479997
85 SIERRA PARK RD # A
Mammoth Lakes, CA 93546
(760) 924-4000
✔ PECOS45 mi
Diagnostic Radiology
NPI 1619962115
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 924-4070
✔ PECOS✔ Accepts Medicare45 mi
Registered Dietitian or Nutrition Professional
NPI 1124402417
85 SIERRA PARK RD
Mammoth Lakes, CA 93546
(760) 924-4214
✔ Accepts Medicare45 mi
Nurse Practitioner
NPI 1427459809
1470 MEDICAL PKWY SUITE 160
Carson City, NV 89703
(775) 445-7650
✔ PECOS✔ Accepts Medicare72 mi
Cardiovascular Disease (Cardiology)
NPI 1063464279
1470 MEDICAL PKWY SUITE 160
Carson City, NV 89703
(775) 445-7650
✔ PECOS✔ Accepts Medicare72 mi
Marriage and Family Therapist
NPI 1922555499
162 GROVE ST STE J
Bishop, CA 93514
(760) 873-6533
✔ PECOS✔ Accepts Medicare76 mi
Occupational Therapist in Private Practice
NPI 1487246559
162 S MAIN ST
Bishop, CA 93514
(760) 872-2942
✔ Accepts Medicare77 mi
See all 113 clinicians

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 Southern Mono Health Care District's NPI number?

The NPI number for Southern Mono Health Care District is 1821149816. It was assigned to this organization in the NPPES registry on January 16, 2007. The provider is doing business as Bridgeport Family Medicine Clinic.

Where is Southern Mono Health Care District located?

Southern Mono Health Care District is located at 221 Twin Lakes Road, Bridgeport, CA 93517. The listed phone number is (760) 932-7011.

What is Southern Mono Health Care District's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Rural, with taxonomy code 282NR1301X.

Is Southern Mono Health Care District enrolled in Medicare?

Yes. Southern Mono Health Care District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Mono Health Care District?

According to the CMS Revalidation Reassignment List (October 2026 release), 113 clinicians in 29 Medicare specialties reassign their Medicare billing to Southern Mono Health Care District. 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 Physical Therapist in Private Practice (14), Emergency Medicine (12) and Orthopedic Surgery (12). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southern Mono Health Care District was last updated on March 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.