Bridgeport Ambulatory Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

006824 Issued in TX

Legal business name

BRIDGEPORT AMBULATORY SURGERY CENTER

Practice address

806 Woodrow Wilson Ray Cir
Bridgeport, TX 76426-2061

Phone

(940) 683-6670

Fax

(940) 683-4398

NPI assigned

Jun 24, 2006

Last updated

Jul 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sue Ray, RN

Title

Administrator

Phone

(940) 683-6670

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DAVID A RAY BRIDGEPORT SURGERY CENTER Other name

Practitioners 1

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.

• David A. Ray, D.O.

  • Family Medicine Physician
  • Bridgeport, TX
  • NPI 1720062698
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1639105356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 WOODROW WILSON RAY CIR",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764262061",
            "telephone_number": "940-683-6670",
            "fax_number": "940-683-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 WOODROW WILSON RAY CIR",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "764262061",
            "telephone_number": "940-683-6670",
            "fax_number": "940-683-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPORT AMBULATORY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "940-683-6670",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "006824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085929001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVID A RAY BRIDGEPORT SURGERY CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Janear Rochelle Anderson, M.D
• Apsp-Bridgeport, LLC
• Bay Roc Health Care Providers, LLC (Bridgeport Health Care Center)
• Blaylock Anesthesia Group
• Dawn Denise Blevins, RD, LD
• Bridgeport Care Center, Inc (Bridgeport Care Center)
• Bridgeport Emergency Medicine Associates PA
• Bridgeport Essential Practices, LLC (Bridgeport Health Care Center)
• Bridgeport Isd
• Laurie Briggle

• Ambulatory Surgical Clinic/Center in Bridgeport, TX
• Providers in Bridgeport, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.