Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bellevue Legacy Primary Care PLLC

Organization Family Medicine Physician · NPI 1619712320

Bellevue Legacy Primary Care PLLC provides Family Medicine Physician services in Bellevue, Washington. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2820 Northup Way Ste 200
Bellevue, WA 98004-1498
Phone: (425) 484-4050
Fax: (425) 488-4050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1619712320
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Devin Schock — Physician · (425) 484-4050
NPI enumeratedJune 26, 2024
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024
Mailing address2820 Northup Way Ste 200, Bellevue, WA 98004-1498

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