Active NPI
Zachary Schott LLC
- Clinic/Center
- Bridgeport, WV
National Provider Identifier
1619791563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ZACHARY SCHOTT LLC
- Practice address
- 120 Professional PL # 103
Bridgeport, WV 26330-4599 - Phone
- (304) 969-4885
- Fax
- (304) 853-5859
- NPI assigned
- Nov 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zachary Schott, FNP-C
- Title
- Owner/Provider
- Phone
- (304) 518-1861
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
120 Professional PL # 103
Bridgeport, WV 26330-4599
Mailing address
207 Gandalf Rd
Masontown, WV 26542-9023
Other names 1
- Bridgeport Wellness Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8000 Jerry Dove Dr
Ste 110
Bridgeport, WV 26330
120 Professional Pl
#103
Bridgeport, WV 26330
Phone (304) 969-4885
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Bridgeport, WV
- NPI 1861073025
-
- Family Nurse Practitioner
- Bridgeport, WV
- NPI 1891370607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756339200000",
"number": "1619791563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 GANDALF RD",
"city": "MASONTOWN",
"state": "WV",
"postal_code": "265429023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PROFESSIONAL PL # 103",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263304599",
"telephone_number": "304-969-4885",
"fax_number": "304-853-5859"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZACHARY SCHOTT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-07",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A",
"authorized_official_last_name": "SCHOTT",
"authorized_official_first_name": "ZACHARY",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "304-518-1861",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bridgeport Wellness Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bridgeport Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bridgeport, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.