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Bridgeport Medical Clinic Pllc

Clinic/Center in Puyallup, WA · enumerated 2008 · authorized official Dennis Kim, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1982855995

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Registry record

Entity type Organization (Type 2)
Legal business name Bridgeport Medical Clinic Pllc
Practice address 511 10th Ave Se, Puyallup, WA, 98372
Phone (253) 845-7566
Enumeration date Oct 8, 2008
Last updated in NPPES May 3, 2023

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities · License MD00041157 (WA) Primary

Authorized official

Name Dennis Kim
Title Member
Phone (253) 797-9234

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-05-03. Verify at npiregistry.cms.hhs.gov.
Where is Bridgeport Medical Clinic Pllc located?
The practice location on file with NPPES is in Puyallup, WA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-03.