Individual provider · Type 1 NPI

Ingrid E. Mody, PA-C

Physician Assistant · Bridgeport, CT

NPI number 1821053927 Active

Practice location

267 Grant St
Bridgeport, CT 06610-2805

Call (203) 384-3873 Map

Fax (203) 384-3829

Mailing address

PO Box 5246
Bridgeport, CT 06610-0246

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X000973 (CT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1821053927

Ingrid E. Mody, PA-C's National Provider Identifier is 1821053927, issued on Apr 20, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 13, 2026.