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BRIDGEPORT MEDICAL CLINIC PLLC
NPI 1982855995
Clinic/Center in Puyallup, WA

Active since October 08, 2008
511 10TH AVE SE, PUYALLUP, WA 98372(253) 845-7566 Get Directions Write a Review

NPPES record last updated: May 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bridgeport Medical Clinic Pllc NPPES

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

BRIDGEPORT MEDICAL CLINIC PLLC (NPI 1982855995) is a healthcare organization registered as a clinic/center in Puyallup, Washington and active in the NPI registry since October 2008. The organization lists Dennis Jooyoung Kim, Member, as its authorized official.

NPPES Registry Identity

NPI1982855995
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBRIDGEPORT MEDICAL CLINIC PLLC
Location Address511 10TH AVE SEPuyallup, WA 98372-3875
Mailing Address152 S 295th PlFederal Way, WA 98003-3659 · (253) 797-9234 · Fax (253) 588-4986
Phone(253) 845-7566
Organization SubpartNo
Authorized OfficialDennis Jooyoung KimMember · (253) 797-9234
Enumeration DateOctober 8, 2008
Last NPPES UpdateMay 3, 2023
NPPES CertifiedMay 3, 2023
✔ NPI 1982855995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in WA · MD00041157
Definition
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).
511 10TH AVE SE, Puyallup, WA 98372
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 6

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

JIWOONG YOO CNA
Nurse's Aide
511 10TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 845-7566
DIANA KAYL BSN, RN
Registered Nurse
511 10TH AVE SE
PUYALLUO, WA 98372
Pierce County (253) 845-7566
VALLEY TERRACE OPERATIONS, LLC
Skilled Nursing Facility
511 10TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 845-7566
MRS. AMANDA M KAARE OTR/L
Occupational Therapist
511 10TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 845-7566
DR. DENNIS JOOYOUNG KIM M.D.
Internal Medicine
511 10TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 845-7566
LIAM BARNES
Physical Therapy Assistant
511 10TH AVE SE
PUYALLUP, WA 98372
Pierce County (253) 845-7566

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 Medical Clinic PLLC's NPI number?

The NPI number for Bridgeport Medical Clinic PLLC is 1982855995. It was assigned to this organization in the NPPES registry on October 8, 2008.

Where is Bridgeport Medical Clinic PLLC located?

Bridgeport Medical Clinic PLLC is located at 511 10th Ave SE, Puyallup, WA 98372. The listed phone number is (253) 845-7566.

What is Bridgeport Medical Clinic PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

What insurance does Bridgeport Medical Clinic PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Bridgeport Medical Clinic PLLC 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 Medical Clinic PLLC was last updated on May 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.