BRIDGETOWN SURGICAL CLINIC
NPI 1124088679
Surgery in Portland, OR

NPI Status: Active since March 27, 2006

Contact Information

10000 SE MAIN ST
SUITE 311
PORTLAND, OR
ZIP 97216
Phone: (503) 257-0748
Fax: (503) 255-0526

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  • Organization
  • Surgery
  • Accepts Insurance

About BRIDGETOWN SURGICAL CLINIC

This page provides the complete NPI Profile along with additional information for Bridgetown Surgical Clinic, a provider established in Portland, Oregon operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1124088679 assigned on March 2006. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Bridgetown Surgical Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Bridgetown Surgical Clinic. The authorized official of this NPI record is Lindsay Shaw (Office Manager)

NPI
1124088679
Provider Legal Name
BRIDGETOWN MEDICAL GROUP P.C.
Other Organization Name
BRIDGETOWN SURGICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10000 SE MAIN ST SUITE 311 PORTLAND, OR 97216
Location Phone
(503) 257-0748
Location Fax
(503) 255-0526
Mailing Address
10000 SE MAIN ST STE 212 PORTLAND, OR 97216
Mailing Phone
(503) 416-6510
Mailing Fax
(503) 255-0526
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2006
Last Update Date
06-16-2018
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A surgeon like Bridgetown Surgical Clinic treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
22086S0129XAllopathic & Osteopathic Physicians

Surgery
Vascular Surgery

 
3208C00000XAllopathic & Osteopathic Physicians

Colon & Rectal Surgery

 
4208G00000XAllopathic & Osteopathic Physicians

Thoracic Surgery (Cardiothoracic Vascular Surgery)

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Moda Health Affinity Bronze 7750 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - EPO
  • Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Bronze HDHP 7500 - EPO
  • Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) - EPO
  • Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LINDSAY SHAW

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(503) 416-6510

Reviews for BRIDGETOWN SURGICAL CLINIC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1124088679
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21440816614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 0 + 8 + 1 + 6 + 6 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1124088679 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194729798DR. CHARLES L COLIP MD
Individual
Specialist10000 SE MAIN ST STE 203
PORTLAND, OR 97216
(503) 255-3054
1700883386DR. WILLIAM C SCHLIPPERT MD
Individual
Specialist10000 SE MAIN ST SUITE 203
PORTLAND, OR 97216
(503) 255-3054
1386644755DR. ERIC E. MUELLER PH.D.
Individual
Psychologist (Clinical)10000 SE MAIN ST
PORTLAND, OR 97216
(503) 251-6961
1437151156 ROBERT J. SWANBERG DMC
Individual
Dentist (General Practice)10000 SE MAIN ST SUITE 101
PORTLAND, OR 97216
(503) 254-5593
1639161425DR. KATHERINE R STRELICH M.D.
Individual
Internal Medicine (Cardiovascular Disease)10000 SE MAIN ST SUITE 60
PORTLAND, OR 97216
(503) 257-0959
1013903905DR. BENJAMIN F BALME MD
Individual
Orthopaedic Surgery10000 SE MAIN ST SUITE 128
PORTLAND, OR 97216
(503) 261-6961
1689653412DR. MARK S METZGER MD
Individual
Specialist10000 SE MAIN ST STE 327
PORTLAND, OR 97216
(503) 256-5866
1518935618 ROBERT M WELSH PAC
Individual
Physician Assistant10000 SE MAIN ST SUITE 327
PORTLAND, OR 97216
(503) 256-5866
1578532362 MICHAEL M MARTINDALE PT
Individual
Physical Therapist10000 SE MAIN ST SUITE 327
PORTLAND, OR 97216
(503) 256-5866
1134198914 PATRICK L HANLEY MD
Individual
Orthopaedic Surgery (Sports Medicine)10000 SE MAIN ST SUITE 327
PORTLAND, OR 97216
(503) 256-5866
1548221948 WESLEY E RIPPEY M.D.
Individual
Surgery10000 SE MAIN ST SUITE 316
PORTLAND, OR 97216
(503) 256-1575
1063473452 MILTON C MACKETT M.D.
Individual
Surgery10000 SE MAIN ST SUITE 316
PORTLAND, OR 97216
(503) 256-1575
1114988128 ALAN M FISHER M.D.
Individual
Obstetrics & Gynecology10000 SE MAIN ST SUITE 309
PORTLAND, OR 97216
(503) 257-7757
1033170832 DONALD E GILES M.D.
Individual
Surgery10000 SE MAIN ST SUITE 316
PORTLAND, OR 97216
(503) 256-1575
1831152537 RUTH E WILCOX MD
Individual
Family Medicine10000 SE MAIN ST SUITE 116
PORTLAND, OR 97216
(503) 251-6292
1720044654 CRAIG E FOSS MD
Individual
Internal Medicine10000 SE MAIN ST SUITE 200
PORTLAND, OR 97216
(503) 261-6985
1023074895 JOHN F KRAMER DO
Individual
Family Medicine10000 SE MAIN ST SUITE 302
PORTLAND, OR 97216
(503) 255-2186
1649220377 FRANCES T TING M.D.
Individual
Surgery10000 SE MAIN ST SUITE 316
PORTLAND, OR 97216
(503) 256-1575
1225066301 ELLEN P DUPLAIN MD
Individual
Internal Medicine10000 SE MAIN ST SUITE 205
PORTLAND, OR 97216
(503) 261-6985
1295807253 JULIE TAKEUCHI CRAWFORD MD
Individual
Obstetrics & Gynecology10000 SE MAIN ST STE 10
PORTLAND, OR 97216
(503) 256-1470

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124088679, enumerated in the NPI registry as an "organization" on March 27, 2006

The provider is located at 10000 Se Main St Suite 311 Portland, Or 97216 and the phone number is (503) 257-0748

This medical organization specializes in Surgery with taxonomy code 208600000X

The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.