Bridge City Foot & Ankle LLC
NPI 1669074316ActiveOrganization· Podiatrist· Beaverton, OR
Podiatrist in Beaverton, Oregon, registered in NPPES in November 2020. The authorized official on file is Peter Stach, DPM, Owner/Podiatric Physician. Enrolled in Medicare as dme supplier - physician - general practice and part b supplier - clinic/group practice.
Overview
| NPI | 1669074316 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 9, 2020 |
| Last updated in NPPES | Oct 18, 2023 |
| Certified by provider | Oct 18, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - General Practice (OR); Part B Supplier - Clinic/Group Practice (OR) |
|---|
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