IndividualActive
Emmanuel Bautista, MD
NPI 1902965106 · Family Medicine Physician · Bridgeport, CT
Emmanuel Bautista, MD is a Family Medicine Physician provider in Bridgeport, CT (NPI 1902965106).
Provider details
- NPI number
- 1902965106
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 025021 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 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
Southwest Ct Mental Health System Attn Sandra Grazynski
1635 Central Avenue Room 213
Bridgeport, CT 06610
Phone: (203) 551-7660
Fax: (203) 551-7481
Approximate (ZIP-level) locationGet directions
Mailing address
Southwest Ct Mental Health System Attn Sandra Grazynsk
Bridgeport, CT 06610
Registry dates
- Enumerated
- 2006-12-06
- Last updated
- 2007-07-08
Frequently asked questions
- What is Emmanuel Bautista's NPI number?
- Emmanuel Bautista's National Provider Identifier (NPI) is 1902965106, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Emmanuel Bautista's specialty?
- Emmanuel Bautista is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Emmanuel Bautista located?
- Emmanuel Bautista's practice location on file with NPPES is Southwest Ct Mental Health System Attn Sandra Grazynski, Bridgeport, CT 06610.
- What is Emmanuel Bautista's phone number?
- The practice phone number listed in the NPPES registry for Emmanuel Bautista is (203) 551-7660.
- Is Emmanuel Bautista's NPI active?
- Yes — Emmanuel Bautista's NPI (1902965106) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.