Bridgetown Medical Group P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

MD17656 Issued in OR

Legal business name

BRIDGETOWN MEDICAL GROUP P.C.

Doing business as

Bridgetown Women'c Care
Healthcare Specialists NW P.C.

Practice address

10000 SE Main St
Suite 212
Portland, OR 97216

Phone

(503) 257-6919

NPI assigned

Aug 6, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lindsay Shaw

Title

Office Manager

Phone

(503) 416-6510

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 2

• Bridgetown Women'c Care Doing business as
• Healthcare Specialists NW P.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bridgetown Medical Group P.C.

  • Surgery Physician
  • Portland, OR
  • NPI 1124088679

  O20040226001071

  Same enrollment
• Hyperbaric Consultants Medical Group Inc

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • San Francisco, CA
  • NPI 1093142085

  O20040226001071

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alvin K Nakamura, M.D.

  • Obstetrics & Gynecology Physician
  • Portland, OR
  • NPI 1528029345
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1396177937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST",
            "address_2": "SUITE 248",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162448",
            "telephone_number": "503-416-6510",
            "fax_number": "503-416-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST",
            "address_2": "SUITE 212",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97216",
            "telephone_number": "503-257-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGETOWN MEDICAL GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-416-6510"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Midwife",
            "state": "OR",
            "license": "076037162N5",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD17656",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD12584",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "MD10669",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070490",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgetown Women'c Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bridgetown Women'c Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthcare Specialists NW P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridgeton Chiropractic, LLC
• Bridgetown Acupuncture and Herbal Clinic, LLC
• Bridgetown Chiropractic and Wellness PC
• Bridgetown Hearing Clinic
• Bridgetown Medical Group P.C.
• Bridgetown Optometric Associates LLC
• Bridgetown Physical Therapy and Training Studio, PC
• Bridgetown Recovery
• Bridgeview
• Bridgeview Dental Assoc LLC

• Obstetrics & Gynecology Physician in Portland, OR
• Providers in Portland, OR by specialty
• Obstetrics & Gynecology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.