Wellington Provider Group PC
NPI 1043922321ActiveOrganization· Family Medicine· Bridgeport, CT
Family Medicine in Bridgeport, Connecticut, registered in NPPES in December 2022, part of Wellington Provider Group PC. The authorized official on file is Mariela Bravo, Credentialing Team Lead.
Overview
| NPI | 1043922321 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Wellington Provider Group PC |
| NPI issued | Dec 19, 2022 |
| Last updated in NPPES | Dec 19, 2022 |
| Certified by provider | Dec 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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