BENJAMIN B. BETTERIDGE MD, CAQ SPORTS MEDIC – NPI #1225007388
Emergency Medicine

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

BENJAMIN BETTERIDGE is a physician located in TACOMA, WA. NPPES has assigned the NPI number 1225007388 to BENJAMIN BETTERIDGE on March 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207PS0010X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Sports Medicine

The NPI profile was previously updated about 3 years ago on Jul 31, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BENJAMIN BETTERIDGE below.

NPI Profile for
BENJAMIN B. BETTERIDGE

NPI Number
1225007388
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BENJAMIN B. BETTERIDGE
Credentials
MD, CAQ SPORTS MEDIC
Primary location
3733 SO THOMPSON AVE
TACOMA, WA 98418
Phone: (253) 472-4473 Fax: (253) 474-3056
1 Other location(s):
9505 S Steele St
Tacoma, WA 98444-1858
Phone: (253) 597-6800
Mailing address
2721 SOUNDVIEW DR. WEST
UNIVERSITY PLACE, WA 98466
Phone: (253) 283-9954 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jul 31, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BENJAMIN BETTERIDGE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidUT942854058788-D6149
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PS0010X
- Emergency Medicine / Sports Medicine (Primary)
UT 294831-1205
207PT0002X
- Emergency Medicine / Medical Toxicology
WA 43643
204C00000X
- Neuromusculoskeletal Medicine, Sports Medicine
UT 2948311205

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Endpoint type
SOAP URL
Endpoint Description
CAREQUALITY
Content Type
OTHER
Affiliation
N
Endpoint Location
9505 S STEELE ST,
TACOMA, WA 77025-1669

Additional Information

Education
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL) - Graduated 2002
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.