Bridge City Foot & Ankle LLC
NPI 1669074316 · Podiatrist · Beaverton, OR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bridge City Foot & Ankle LLC is a Podiatrist organization in Beaverton, OR (NPI 1669074316).
Provider details
- NPI number
- 1669074316
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Peter Stach, Owner/Podiatric Physician(503) 805-4720
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
Registry dates
- Enumerated
- 2020-11-09
- Last updated
- 2023-10-18
- Certified
- 2023-10-18
Frequently asked questions
- What is Bridge City Foot & Ankle LLC's NPI number?
- Bridge City Foot & Ankle LLC's National Provider Identifier (NPI) is 1669074316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridge City Foot & Ankle LLC?
- Bridge City Foot & Ankle LLC is classified in the NPPES registry as Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Bridge City Foot & Ankle LLC located?
- Bridge City Foot & Ankle LLC's practice location on file with NPPES is 4770 Sw Watson Ave, Beaverton, OR 97005-0511.
- What is Bridge City Foot & Ankle LLC's phone number?
- The practice phone number listed in the NPPES registry for Bridge City Foot & Ankle LLC is (503) 427-8967.
- Does Bridge City Foot & Ankle LLC accept Medicare?
- Bridge City Foot & Ankle LLC 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 Bridge City Foot & Ankle LLC?
- The authorized official listed on Bridge City Foot & Ankle LLC's NPPES record is Peter Stach, Owner/Podiatric Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridge City Foot & Ankle LLC's NPI active?
- Yes — Bridge City Foot & Ankle LLC's NPI (1669074316) is active in the NPPES registry as of the last update on 2023-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.