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BRIDGEPORT EXPRESS CARE INC
NPI 1912142001
General Practice in Bridgeport, WV

Active since December 04, 2008CLIA 51D1093221 · Certificate of Compliance
1370 JOHNSON AVE FL 1, BRIDGEPORT, WV 26330(304) 842-3330(304) 842-3303 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bridgeport Express Care Inc NPPES

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

BRIDGEPORT EXPRESS CARE INC (NPI 1912142001) is a healthcare organization registered as a general practice in Bridgeport, West Virginia and active in the NPI registry since December 2008. The organization holds a CLIA Certificate of Compliance certificate valid through December 15, 2027 and lists Timothy Peasak, President, as its authorized official.

NPPES Registry Identity

NPI1912142001
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBRIDGEPORT EXPRESS CARE INC
Location Address1370 JOHNSON AVE FL 1Bridgeport, WV 26330-1492
Mailing Address1370 Johnson Ave Fl 1Bridgeport, WV 26330-1492 · (304) 842-3330 · Fax (304) 842-3303
Phone(304) 842-3330
Fax(304) 842-3303
Organization SubpartNo
Authorized OfficialTimothy PeasakPresident · (304) 842-3330
Enumeration DateDecember 4, 2008
Last NPPES UpdateJanuary 3, 2025
NPPES CertifiedJanuary 3, 2025
✔ NPI 1912142001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1370 JOHNSON AVE FL 1, Bridgeport, WV 26330
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Other Identifiers 1

Medicaid3810013952WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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 Express Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Bridgeport Express Care Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Natalie King-Selario, DO
Family Practice
NPI 1225214240
1370 JOHNSON AVENUE
Bridgeport, WV 26330
(304) 842-3330
✔ PECOS✔ Accepts MedicareSame address
Timothy Peasak, D.O.
Emergency Medicine
NPI 1720142391
1370 JOHNSON AVE 1ST FLOOR
Bridgeport, WV 26330
(304) 842-3330
✔ PECOS✔ Accepts MedicareSame address
Maria Scudere, NP-C
Nurse Practitioner
NPI 1962036509
1370 JOHNSON AVE
Bridgeport, WV 26330
(304) 842-3330
✔ PECOS✔ Accepts MedicareSame address
Travis Wamsley, FNP-BC
Nurse Practitioner
NPI 1295406833
1 MEDICAL CENTER DR
Morgantown, WV 26506
(304) 598-4000
✔ PECOS✔ Accepts Medicare29 mi
David Peasak, MSN, NP
Nurse Practitioner
NPI 1316987001
1200 J D ANDERSON DR
Morgantown, WV 26505
(304) 598-1200
✔ PECOS✔ Accepts Medicare30 mi

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 Compliance 51D1093221

Bridgeport Express Care · Bridgeport, WV
Active · expires Dec 15, 2027
CLIA Number51D1093221
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorDr. Timothy M. Peasak
Laboratory Phone(304) 842-3330
Laboratory LocationBridgeport Express Care1370 Johnson Avenue, Bridgeport, WV 26330
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Express Care Inc's NPI number?

The NPI number for Bridgeport Express Care Inc is 1912142001. It was assigned to this organization in the NPPES registry on December 4, 2008.

Where is Bridgeport Express Care Inc located?

Bridgeport Express Care Inc is located at 1370 Johnson Ave Fl 1, Bridgeport, WV 26330. The listed phone number is (304) 842-3330.

What is Bridgeport Express Care Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Bridgeport Express Care Inc enrolled in Medicare?

Yes. Bridgeport Express Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bridgeport Express Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Bridgeport Express Care Inc. 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), Emergency Medicine (1) and Family Practice (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bridgeport Express Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 51D1093221) is associated with this NPI, valid through December 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bridgeport Express Care Inc accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Bridgeport Express Care Inc 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 Express Care Inc was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.