Bridgeport Medical Clinic PLLC
NPI 1982855995 · Clinic/Center · Puyallup, WA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bridgeport Medical Clinic PLLC is a Clinic/Center organization in Puyallup, WA (NPI 1982855995).
Provider details
- NPI number
- 1982855995
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dennis Kim, Member(253) 797-9234
- License
- MD00041157 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2008-10-08
- Last updated
- 2023-05-03
- Certified
- 2023-05-03
Frequently asked questions
- What is Bridgeport Medical Clinic PLLC's NPI number?
- Bridgeport Medical Clinic PLLC's National Provider Identifier (NPI) is 1982855995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridgeport Medical Clinic PLLC?
- Bridgeport Medical Clinic PLLC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bridgeport Medical Clinic PLLC located?
- Bridgeport Medical Clinic PLLC's practice location on file with NPPES is 511 10th Ave Se, Puyallup, WA 98372-3875.
- What is Bridgeport Medical Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Bridgeport Medical Clinic PLLC is (253) 845-7566.
- Does Bridgeport Medical Clinic PLLC accept Medicare?
- Bridgeport Medical Clinic PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bridgeport Medical Clinic PLLC?
- The authorized official listed on Bridgeport Medical Clinic PLLC's NPPES record is Dennis Kim, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridgeport Medical Clinic PLLC's NPI active?
- Yes — Bridgeport Medical Clinic PLLC's NPI (1982855995) is active in the NPPES registry as of the last update on 2023-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.