Bruce Raymond Belleville, M.D.

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

License

21657 Issued in CO

Practice address

2831 Skimmerhorn St
Fort Collins, CO 80526-6275

Phone

(970) 223-2274

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bruce R. Belleville, MD, LLC

  • Pain Medicine Physician
  • Fort Collins, CO
  • NPI 1619206638
  NPD (past) Authorized official
• Intermountain Anesthesia Professional Consultants, LLP

  • Interventional Pain Medicine Physician
  • Greeley, CO
  • NPI 1891793022
  NPD (past)
• Frances Mahon Deaconess Hospital

  • Critical Access Hospital
  • Glasgow, MT
  • NPI 1689685323
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1073670873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 SKIMMERHORN ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266275",
            "telephone_number": "970-223-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 SKIMMERHORN ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266275",
            "telephone_number": "970-223-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLEVILLE",
        "first_name": "BRUCE",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "MT",
            "license": "9742",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CO",
            "license": "21657",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CO",
            "license": "21657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01216571",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA L&I PROVIDER NUMBER",
            "identifier": "150115",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay A Bell, FNP
• Lena Belleau, FNP PMHNP
• Louise Elliott Belleau, MS, OTR
• Sarah Belleau, MA, OTR
• Kaylee Bellerby
• Amanda Bellew
• Lynn Bellmore, M.D.
• Maria Bello
• Julia Sergeevna Belova-Ross
• Paola Beltran

• Preventive Medicine/Occupational Environmental Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Preventive Medicine/Occupational Environmental Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.