Bridgetown Medical Group P.C.
NPI 1124088679 · Surgery Physician · Portland, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bridgetown Medical Group P.C. is a Surgery Physician organization in Portland, OR (NPI 1124088679).
Provider details
- NPI number
- 1124088679
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lindsay Shaw, Office Manager(503) 416-6510
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Vascular Surgery Physician2086S0129X
Allopathic & Osteopathic Physicians
- Colon & Rectal Surgery Physician208C00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Bridgetown Surgical Clinic
- Doing business as
- Bridgetown Surgical Clinic
- Doing business as
- Healthcare Specialists Nw P.C.
Registry dates
- Enumerated
- 2006-03-27
- Last updated
- 2018-06-16
Frequently asked questions
- What is Bridgetown Medical Group P.C.'s NPI number?
- Bridgetown Medical Group P.C.'s National Provider Identifier (NPI) is 1124088679, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridgetown Medical Group P.C.?
- Bridgetown Medical Group P.C. is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Bridgetown Medical Group P.C. located?
- Bridgetown Medical Group P.C.'s practice location on file with NPPES is 10000 Se Main St, Portland, OR 97216.
- What is Bridgetown Medical Group P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Bridgetown Medical Group P.C. is (503) 257-0748.
- Does Bridgetown Medical Group P.C. accept Medicare?
- Bridgetown Medical Group P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bridgetown Medical Group P.C.?
- The authorized official listed on Bridgetown Medical Group P.C.'s NPPES record is Lindsay Shaw, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridgetown Medical Group P.C.'s NPI active?
- Yes — Bridgetown Medical Group P.C.'s NPI (1124088679) is active in the NPPES registry as of the last update on 2018-06-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.