Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENJAMIN BRYCE BETTERIDGE, MD, CAQ SPORTS MEDIC
Active Sole ProprietorDR. BENJAMIN BRYCE BETTERIDGE, MD, CAQ SPORTS MEDIC is a Sports Medicine (EM) healthcare provider located in TACOMA, Washington. NPI 1225007388 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (EM) · TACOMA, WA
Registration Details
- NPI Number
- 1225007388
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2006 (20.448989842272 yrs)
- Last Updated
- Jul 31, 2023
- Licenses
-
2948311205 (UT)MD00043643 (WA)294831-1205 (UT)MD00043643 (WA)43643 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3733 SO THOMPSON AVETACOMA, WA, 98418Browse WA providers · Browse ZIP 98418
- Phone
- 2534724473
- Fax
- 2534743056
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
- Additional Specialty
- Neuromusculoskeletal Medicine & OMM
- Additional Specialty
- Sports Medicine (EM)
- Additional Specialty
- Sports Medicine (EM)
- Additional Specialty
- Medical Toxicology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.