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BRIDGE CITY FOOT & ANKLE LLC
NPI 1669074316
Podiatrist in Beaverton, OR

Active since November 09, 2020
4770 SW WATSON AVE, BEAVERTON, OR 97005(503) 427-8967(971) 223-0096 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2023, Nov 9, 2020 (2 updates tracked since 2020).

About Bridge City Foot & Ankle Llc NPPES

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

BRIDGE CITY FOOT & ANKLE LLC (NPI 1669074316) is a healthcare organization registered as a podiatrist in Beaverton, Oregon and active in the NPI registry since November 2020. The organization lists Peter Stach, Owner/podiatric Physician, as its authorized official.

NPPES Registry Identity

NPI1669074316
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameBRIDGE CITY FOOT & ANKLE LLC
Location Address4770 SW WATSON AVEBeaverton, OR 97005-0511
Mailing Address1720 Sw Huntington AvePortland, OR 97225-4752 · (503) 805-4720
Phone(503) 427-8967
Fax(971) 223-0096
Organization SubpartNo
Authorized OfficialPeter StachOwner/podiatric Physician · (503) 805-4720
Enumeration DateNovember 9, 2020
Last NPPES UpdateOctober 18, 20232 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1669074316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
4770 SW WATSON AVE, Beaverton, OR 97005
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PETER STACH DPM
Podiatrist
4770 SW WATSON AVE
BEAVERTON, OR 97005
Washington County (503) 805-4720

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 Bridge City Foot & Ankle LLC's NPI number?

The NPI number for Bridge City Foot & Ankle LLC is 1669074316. It was assigned to this organization in the NPPES registry on November 9, 2020.

Where is Bridge City Foot & Ankle LLC located?

Bridge City Foot & Ankle LLC is located at 4770 SW Watson Ave, Beaverton, OR 97005. The listed phone number is (503) 427-8967.

What is Bridge City Foot & Ankle LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

What insurance does Bridge City Foot & Ankle LLC accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Bridge City Foot & Ankle LLC 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 Bridge City Foot & Ankle LLC was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.