Benjamin Betteridge, MD, CAQ SPORTS MEDIC
Benjamin Betteridge, MD, CAQ SPORTS MEDIC is a Sports Medicine (Emergency Medicine) Physician in Tacoma, WA, registered under NPI 1225007388. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 3733 SO THOMPSON AVE, Tacoma, WA 98418. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 43643 | WA | Sports Medicine (Emergency Medicine)… primary |
| 2948311205 | UT | Sports Medicine (Neuromusculoskeletal… |
| MD00043643 | WA | Sports Medicine (Neuromusculoskeletal… |
| 294831-1205 | UT | Sports Medicine (Emergency Medicine)… |
| MD00043643 | WA | Sports Medicine (Emergency Medicine)… |
| 43643 | WA | Medical Toxicology (Emergency Medicine)… |
Licences are recorded in 2 states: WA, UT. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Sports Medicine
- PAC ID
- 6305881475
Medicare enrolment is recorded as approved under the provider type Practitioner - Sports Medicine. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Utah and Washington. The practice address on file is in Tacoma, WA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 2948311205
- Specialty
- Sports Medicine (Neuromusculoskeletal…
- Licence
- 43643
- Specialty
- Sports Medicine (Emergency Medicine)…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Sports Medicine covers
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. NUCC Health Care Provider Taxonomy, code 207PS0010X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician Sports Medicine | 43643 | WA | primary |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | 2948311205 | UT | |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | MD00043643 | WA | |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician Sports Medicine | 294831-1205 | UT | |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician Sports Medicine | MD00043643 | WA | |
| 207PT0002X | Medical Toxicology (Emergency Medicine) Physician Medical Toxicology | 43643 | WA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1225007388 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Mar 14, 2006 |
| Last updated | Jul 31, 2023 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | MD, CAQ SPORTS MEDIC |
| Practice address |
3733 SO THOMPSON AVE Tacoma, WA 98418 (253) 472-4473 Fax (253) 474-3056 |
| Mailing address |
2721 SOUNDVIEW DR. WEST University Place, WA 98466 |
| Other identifiers |
942854058788-D6149
(UT) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 2 | 5 | 0 | 0 | 7 | 3 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 4 | 5 | 0 | 0 | 5 | 3 | 7 |
Sum = 52 · next multiple of 10 = 60 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.