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

Thomas Joseph Dominguez IV

Individual provider Surgical Physician Assistant · NPI 1568945004

Thomas Joseph Dominguez IV is a Physician Assistant in Bridgeport, Connecticut. Qualified in 2018, 8 years ago. Practices with Health First Medical Group, LLC, a 688-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and Florida.

Years since qualifying
8
Licensed in
CT, FL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

267 Grant St
Bridgeport, CT 06610-2870
Phone: (203) 502-4723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1350 Hickory St, Melbourne, FL 32901-3224 — (321) 434-3455

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9113032 (FL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4269 (CT)

Record details

NPI number1568945004
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 11, 2018
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address267 Grant St, Bridgeport, CT 06610-2870

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Health First Medical Group, Llc — 688 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bridgeport