Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Wellington Provider Group PC

Organization Family Medicine Physician · NPI 1043922321

Wellington Provider Group PC provides Family Medicine Physician services in Bridgeport, Connecticut. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1000 Lafayette Blvd Ste 1100
Bridgeport, CT 06604-4710
Phone: (859) 518-8817
Fax: (859) 201-1084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1043922321
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationWellington Provider Group PC
Authorized official Mariela Bravo — Credentialing Team Lead · (859) 518-8817
Other names Wellington Provider Group Pc
NPI enumeratedDecember 19, 2022
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022
Mailing address535 Wellington Way Ste 330, Lexington, KY 40503-1331

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