NPIMap

Organization Active NPI

MCJV Medical Partners, LLC

Doing business as Bridge Family Practice

  • Family Medicine Physician
  • Portland, TX
National Provider Identifier
1548849813
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MCJV MEDICAL PARTNERS, LLC
Doing business as
Bridge Family Practice
Bridge Occupational Medicine
Practice address
443 Houston St
Portland, TX 78374-1643
Phone
(361) 977-2059
NPI assigned
Apr 5, 2021
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Martha Adriana Moon, NPNPI 1730106360
Title
Ceo
Phone
(361) 977-2059

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

443 Houston St
Portland, TX 78374-1643

Mailing address

443 Houston St
Portland, TX 78374-1643
Phone (361) 977-2059

Other practice location 1

921 Houston St
Portland, TX 78374-2023
Phone (361) 977-2053

Other names 2

  • Bridge Family Practice Doing business as
  • Bridge Occupational Medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2220951Bridge Family Practice443 Houston, Portland, TX 78374Certificate of waiverApr 15, 2027

National Provider Directory

National Provider Directory

Locations

443 Houston St
Portland, TX 78374
Phone (361) 977-2059

616 Elm St
Portland, TX 78374

921 Houston St
Portland, TX 78374
Phone (361) 977-2053

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1548849813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 HOUSTON ST",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741643",
            "telephone_number": "361-977-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 HOUSTON ST",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741643",
            "telephone_number": "361-977-2059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 Houston St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "TX",
            "postal_code": "783742023",
            "country_code": "US",
            "telephone_number": "361-977-2053",
            "fax_number": "361-977-2047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MCJV MEDICAL PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ADRIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "361-977-2059",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridge Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridge Occupational Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.