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BRIDGETOWN SURGICAL CLINIC
NPI 1124088679
Surgery in Portland, OR

Active since March 27, 2006
10000 SE MAIN ST, SUITE 311, PORTLAND, OR 97216(503) 257-0748(503) 255-0526 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bridgetown Surgical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGETOWN SURGICAL CLINIC (NPI 1124088679) is a healthcare organization registered as a surgery in Portland, Oregon and active in the NPI registry since March 2006. The organization lists Lindsay Shaw, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1124088679
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameBRIDGETOWN MEDICAL GROUP P.C.
Location Address10000 SE MAIN ST, SUITE 311Portland, OR 97216
Mailing Address10000 Se Main St Ste 212Portland, OR 97216-2442 · (503) 416-6510 · Fax (503) 416-6529
Phone(503) 257-0748
Fax(503) 255-0526
Organization SubpartNo
Authorized OfficialLindsay ShawOffice Manager · (503) 416-6510
Enumeration DateMarch 27, 2006
Last NPPES UpdateJune 16, 2018
✔ NPI 1124088679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X
10000 SE MAIN ST, Portland, OR 97216
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Other Names 2

Doing Business AsBridgetown Surgical Clinic
Doing Business AsHealthcare Specialists Nw P.c.

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridgetown Surgical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bridgetown Surgical Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alvin Nakamura, M.D.
Obstetrics/Gynecology
NPI 1528029345
10000 SE MAIN ST SUITE 248
Portland, OR 97216
(503) 257-7757
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bridgetown Medical Group P.C.'s NPI number?

The NPI number for Bridgetown Medical Group P.C. is 1124088679. It was assigned to this organization in the NPPES registry on March 27, 2006. The provider is doing business as Bridgetown Surgical Clinic and Healthcare Specialists NW P.C..

Where is Bridgetown Medical Group P.C. located?

Bridgetown Medical Group P.C. is located at 10000 SE Main St Suite 311, Portland, OR 97216. The listed phone number is (503) 257-0748.

What is Bridgetown Medical Group P.C.'s specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Bridgetown Medical Group P.C. enrolled in Medicare?

Yes. Bridgetown Medical Group P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bridgetown Medical Group P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Bridgetown Medical Group P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bridgetown Medical Group P.C. accept?

Health plans from Providence Health Plan list Bridgetown Medical Group P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bridgetown Medical Group P.C. was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.