Organization Active NPI

The Bellevue Clinic, PC

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1124392584
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THE BELLEVUE CLINIC, PC
Practice address
333 S Bellevue Blvd
Memphis, TN 38104-3530
Phone
(901) 729-2708
Fax
(901) 729-2720
NPI assigned
Mar 2, 2012
Last updated
Mar 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Luisa Pagliarulo
Title
Office Manager
Phone
(901) 729-2708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

333 S Bellevue Blvd
Memphis, TN 38104-3530

Mailing address

333 S Bellevue Blvd
Memphis, TN 38104-3530
Phone (901) 729-2708

National Provider Directory

National Provider Directory

Locations

1900 Kirby Pkwy
Ste 202
Memphis, TN 38138
Phone (901) 624-0920

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1124392584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S BELLEVUE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043530",
            "telephone_number": "901-729-2708",
            "fax_number": "901-729-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S BELLEVUE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043530",
            "telephone_number": "901-729-2708",
            "fax_number": "901-729-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BELLEVUE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "PAGLIARULO",
        "authorized_official_first_name": "LUISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-729-2708"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.