BRIDGEPORT MEDICAL CLINIC PLLC
NPI 1982855995
Clinic/Center in Puyallup, WA
NPI Status: Active since October 08, 2008
Contact Information
511 10TH AVE SE
PUYALLUP, WA
ZIP 98372
Phone: (253) 845-7566
- Organization
- Clinic/Center
- Accepts Insurance
About BRIDGEPORT MEDICAL CLINIC PLLC
This page provides the complete NPI Profile along with additional information for Bridgeport Medical Clinic Pllc, a provider established in Puyallup, Washington operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1982855995 assigned on October 2008. The practitioner's primary taxonomy code is 261Q00000X with license number MD00041157 (WA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Dennis Jooyoung Kim M.d. (Member)
- NPI
- 1982855995
- Provider Name
- BRIDGEPORT MEDICAL CLINIC PLLC
- Entity Type
- Organization
- Location Address
- 511 10TH AVE SE PUYALLUP, WA 98372
- Location Phone
- (253) 845-7566
- Mailing Address
- 152 S 295TH PL FEDERAL WAY, WA 98003
- Mailing Phone
- (253) 797-9234
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-08-2008
- Last Update Date
- 05-03-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- MD00041157
- License State
- WA
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1982855995, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 75 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982855995, enumerated as an "organization" on October 08, 2008.
The provider is located at 511 10TH AVE SE PUYALLUP, WA 98372 and the phone number is (253) 845-7566.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
