Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wellington Provider Group PC

Organization Family Medicine Physician · NPI 1043922321

Wellington Provider Group PC is a Family Medicine Physician 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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