Belvedere Medical Corporation

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

BELVEDERE MEDICAL CORPORATION

Practice address

850 Walnut Bottom Road
Ste 302
Carlisle, PA 17013-3698

Phone

(717) 258-5150

Fax

(717) 258-3392

NPI assigned

Aug 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George P Branscum Jr., MD

Title

President

Phone

(717) 243-1515

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• BMC Gynecology Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David B Evans, MD

  • Gynecology Physician
  • Carlisle, PA
  • NPI 1649254889
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1013926757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 WALNUT BOTTOM ROAD",
            "address_2": "STE 302",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133698",
            "telephone_number": "717-258-5150",
            "fax_number": "717-258-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WALNUT BOTTOM ROAD",
            "address_2": "STE 302",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133698",
            "telephone_number": "717-258-5150",
            "fax_number": "717-258-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELVEDERE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "BRANSCUM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-243-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "827814",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006561610001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP BLUE CROSS",
            "identifier": "02313200",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BMC Gynecology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Gynecology Physician in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.