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

Balamurugan Ponnuraj, MSN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1639823123

Balamurugan Ponnuraj, MSN, FNP-BC is a Nurse Practitioner in Bridgeport, Connecticut. Qualified in 2021, 5 years ago. Practices with South-West Community Health Center Inc, a 54-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
5
Licensed in
CT
In the registry since
2022
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

968 Fairfield Ave
Bridgeport, CT 06605-1116
Phone: (203) 330-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 9832 (CT)

Record details

NPI number1639823123
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 4, 2022
Last updated in NPPESFebruary 4, 2022
Certification dateFebruary 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice South-West Community Health Center Inc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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