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BRIDGEPORT FAMILY PRACTICE OBGYN CLINIC NPI 1255487039


NPI Information

NPI: 1255487039
Provider Name: BRIDGEPORT FAMILY PRACTICE OBGYN CLINIC

Doing Business As: MOHAN & MOHAN MEDICAL - WEST

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 01D0870506

Address:
230 KENTUCKY AVE
STEVENSON, AL
ZIP 35772
Phone: (256) 437-2431
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BRIDGEPORT FAMILY PRACTICE OBGYN CLINIC is a family medicine in Stevenson, AL. The provider is 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. BRIDGEPORT FAMILY PRACTICE OBGYN CLINIC NPI is 1255487039. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mohan & Mohan Medical - West.

The provider's business location address is:

230 KENTUCKY AVE
STEVENSON, AL
ZIP 35772-102
Phone: (256) 437-2431
Fax: (256) 437-8303

The provider's authorized official is T. Murali Mohan .
The authorized official title is Partner and has the following contact phone number (256) 437-2431.

The CLIA number assigned to this NPI record is 01D0870506 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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