Individual provider Active NPI

Carl J. Belber, M.D.

  • Specialist
  • Urbana, IL
National Provider Identifier
1053685735
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036.043723 Issued in IL
Practice address
2105 S Mills Dr
Urbana, IL 61801-6741
Phone
(217) 384-3030
Fax
(217) 344-5807
NPI assigned
Feb 28, 2012
Last updated
Feb 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036.043723 IL Primary

Addresses

Primary practice location

2105 S Mills Dr
Urbana, IL 61801-6741

Mailing address

2105 S Mills Dr
Urbana, IL 61801-6741
Phone (217) 384-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.043723ILMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1053685735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 S MILLS DR",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618016741",
            "telephone_number": "217-384-3030",
            "fax_number": "217-344-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 S MILLS DR",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618016741",
            "telephone_number": "217-384-3030",
            "fax_number": "217-344-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELBER",
        "first_name": "CARL",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036.043723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.