OrganizationActive
Branch Medical Clinic Bridgeport
NPI 1083817597 · Military/U.S. Coast Guard Outpatient Clinic/Center · Bridgeport, CA
Provider details
- NPI number
- 1083817597
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Naval Hospital Twentynine Palms
- Organization subpart
- Yes
- Authorized official
- William Condon, Bumed Ubo(240) 401-3643
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mwtc Bldg 3005
Bridgeport, CA 93517
Phone: (760) 830-2498
Fax: (760) 830-2182
Approximate (ZIP-level) locationGet directions
Mailing address
1145 Sturgess Street, Box 788250
Twentynine Palms, CA 92277-8250
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2017-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.