Bridgeport Express Care Inc
NPI 1912142001ActiveOrganization· General Practice· Bridgeport, WV
General Practice in Bridgeport, West Virginia, registered in NPPES in December 2008. The authorized official on file is Timothy Peasak, DO, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912142001 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2008 |
| Last updated in NPPES | Jan 3, 2025 |
| Certified by provider | Jan 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WV) |
|---|
Other General Practice providers in Bridgeport
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