# UNITED PHYSICIANS CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bridgeport Physicians Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619176302
- **Authorized official:** MR. JOHN C FORESTER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (304) 624-4655

## Contact information

- **Practice address:** 1511 JOHNSON AVE, STE 104, BRIDGEPORT, WV 26330-1016
- **Practice address phone:** (304) 848-0702
- **Practice address fax:** (304) 848-0705
- **Mailing address:** 686 SOUTH PIKE ST, STE A, SHINNSTON, WV 26431-1043
- **Mailing address phone:** (304) 624-4655
- **Mailing address fax:** (304) 624-3918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/13/2007
- **Last updated:** 01/08/2009