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 is a Family Medicine Physician 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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