BRIDGEPORT FAMILY HEALTHCARE
NPI 1992155097
Family Medicine in Bridgeport, WV

Active since June 20, 2016
120 MEDICAL PARK DR, STE 300, BRIDGEPORT, WV 26330(304) 624-7200(304) 423-5302 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bridgeport Family Healthcare NPPES

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

BRIDGEPORT FAMILY HEALTHCARE (NPI 1992155097) is a healthcare organization registered as a family medicine in Bridgeport, West Virginia and active in the NPI registry since June 2016. The organization lists Michael Tillman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1992155097
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameUNITED HOSPITAL CENTER, INC.
Location Address120 MEDICAL PARK DR, STE 300Bridgeport, WV 26330-9012
Mailing Address527 Medical Park Dr, Ste 400Bridgeport, WV 26330-9008 · (681) 342-3500
Fax(304) 423-5302
Organization SubpartNo
Authorized OfficialMichael TillmanCeo · (681) 342-1600
Enumeration DateJune 20, 2016
NPI 1992155097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

120 MEDICAL PARK DR, Bridgeport, WV 26330

Other Names 1

Other NameBridgeport Family Healthcare

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

Other Providers at the Same Location NPPES 17

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

Internal Medicine
120 MEDICAL PARK DR, SUITE 300
BRIDGEPORT, WV 26330
Pharmacist
120 MEDICAL PARK DR, SUITE 102
BRIDGEPORT, WV 26330
Optometrist
120 MEDICAL PARK DR, SUITE 104
BRIDGEPORT, WV 26330
Optometrist
120 MEDICAL PARK DR, SUITE 104
BRIDGEPORT, WV 26330
Dermatology
120 MEDICAL PARK DR, SUITE 200
BRIDGEPORT, WV 26330
Dermatology
120 MEDICAL PARK DR, SUITE 200
BRIDGEPORT, WV 26330
Physician Assistant
120 MEDICAL PARK DR, SUITE 200
BRIDGEPORT, WV 26330
Dermatology
120 MEDICAL PARK DR, SUITE 300
BRIDGEPORT, WV 26330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992155097, enumerated as an "organization" on June 20, 2016.

The provider is located at 120 MEDICAL PARK DR STE 300 BRIDGEPORT, WV 26330 and the phone number is (304) 624-7200.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.