Medi Spark LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDI SPARK LLC

Practice address

119 Vine St
Bridgeport, CT 06604-3024

Phone

(475) 889-4847

NPI assigned

Jun 10, 2026

Organization subpart

No

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

Authorized official

Name

Frantz Pierre

Title

Ceo

Phone

(475) 889-4847

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1781049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1821922287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 VINE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066043024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 VINE ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066043024",
            "telephone_number": "475-889-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI SPARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-10",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "PIERRE",
        "authorized_official_first_name": "FRANTZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "475-889-4847"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith McPherson, LMSW
• Patricia McSherry, CAC
• Clifton McSwain II
• Elana Chloe McTavish, PA-C
• Mitchell S McTavish, PA-C
• Rafael Mediavilla, M.S-ESL
• Medical Center Pharmacy and Home Care Center, Inc. (Yale New Haven Health Pharmacy Bridgeport Hospital)
• Medical Specialists of Fairfield, LLC (SWIM Hematology Oncology)
• Julia Emma Medina, PA-C
• Anjali Mehta, MD

• Durable Medical Equipment & Medical Supplies in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.