BRIDGEPORT FAMILY PRACTICE OBGYN CLINIC NPI 1255487039

NPI Information

  • NPI: 1255487039
  • Provider Name: BRIDGEPORT FAMILY PRACTICE OBGYN CLINIC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: MOHAN & MOHAN MEDICAL - WEST
  • Address: 230 KENTUCKY AVE
    STEVENSON, AL
    ZIP 35772
  • Phone: (256) 437-2431

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NPI Details

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 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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