OrganizationBranch Medical Clinic BridgeportClinic/CenterAmbulatory Health Care FacilitiesPractice AddressMwtc Bldg 3005, Bridgeport, CA 93517(760) 830-2498PECOS EnrollmentBased on the most recent information from CMS, provider Branch Medical Clinic Bridgeport does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1083817597Provider TypeOrganizationFull NameBranch Medical Clinic BridgeportSubpartYesEnumeration Date6/11/2007Last Updated10/16/2017Contact InformationPractice LocationPractice AddressMwtc Bldg 3005, Bridgeport, CA 93517Phone(760) 830-2498Fax(760) 830-2182Mailing LocationMailing Address1145 Sturgess Street, Box 788250, Attn: Financial Technician, Twentynine Palms, CA 92277-8250Phone(760) 830-2498Fax(760) 830-2182Authorized OfficialNameCondon, William M (Bumed Ubo)Phone(240) 401-3643Provider TaxonomiesCodeDescriptionLicenseCode261QM1100XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicenseUnlisted Issuer