Legrand P Belnap, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1250 E 3900 S Ste 220
Salt Lake City, UT 84124-1369

Phone

(801) 262-9782

Fax

(801) 262-8632

NPI assigned

Jul 7, 2006

Last updated

Jan 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Minnesota Medical School, 1974

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Daniel R Cottam MD PCGroup PAC ID 6800166299, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Daniel R Cottam MD PC

  dba Provider Surgical Services

  • Surgery Physician
  • Salt Lake City, UT
  • NPI 1871030742
  Medicare reassignment Care Compare group NPD
• Belnap Surgical Associates PC

  • Specialist
  • Salt Lake City, UT
  • NPI 1114097508
  Authorized official Same address or phone

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199836800000",
    "number": "1225060676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241369",
            "telephone_number": "801-262-9782",
            "fax_number": "801-262-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S STE 220",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241369",
            "telephone_number": "801-262-9782",
            "fax_number": "801-262-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELNAP",
        "first_name": "LEGRAND",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTIUS",
            "identifier": "QM0000063898",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4403014",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52930701001001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOLINA",
            "identifier": "PR01029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Belnap Surgical Associates PC
• Barbara Belnap, LCSW
• Benjamin Belnap, PHD
• Cory B. Belnap, P.A.-C.
• Kayesha Belnap
• Jennifer Belt
• David Beltramo, PT, DPT, CSCS
• Jennifer S. Belzer, MD
• Hillary H. Bemel, LCSW
• Brent Bement

• Specialist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.