NPIMap

Organization Active NPI

City of Bridgeport

Doing business as Bridgeport Health Department

  • State or Local Public Health Clinic/Center
  • Bridgeport, CT
National Provider Identifier
1730436783
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
License
0033 Issued in CT
Legal business name
CITY OF BRIDGEPORT
Doing business as
Bridgeport Health Department
Practice address
99 Middle St
Bridgeport, CT 06604-4410
Phone
(203) 576-7448
NPI assigned
Aug 9, 2012
Last updated
Sep 1, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY OF BRIDGEPORT DEPARTMENT OF HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Dr. Manisha Gupta, M.D.
Title
Internal Medicine
Phone
(203) 576-7448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X 0033 CT Primary

Addresses

Primary practice location

99 Middle St
Bridgeport, CT 06604-4410

Mailing address

99 Middle St
Bridgeport, CT 06604-4410
Phone (203) 576-7448

Other names 1

  • Bridgeport Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210614002428 CT Part B Supplier - Clinic/Group Practice 2365842309 Receives reassigned benefits from 2 practitioners
Practice locations: Bridgeport, CT

National Provider Directory

National Provider Directory
Tax ID family
City of Bridgeport14 organizations share this tax ID, including this one
Part of
City of Bridgeport

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

752 E Main St
Rm 100
Bridgeport, CT 06608

99 Middle St
Bridgeport, CT 06604
Phone (203) 576-7448

Practitioners & affiliated clinicians

Practitioners 2

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": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1730436783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 MIDDLE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044410",
            "telephone_number": "203-576-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 MIDDLE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044410",
            "telephone_number": "203-576-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BRIDGEPORT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF BRIDGEPORT DEPARTMENT OF HEALTH",
        "enumeration_date": "2012-08-09",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "MANISHA",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "203-576-7448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "CT",
            "license": "0033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeport Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.

Verify at the official NPI Registry.