Bellecare Medical Services PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301039079 Issued in MI

Legal business name

BELLECARE MEDICAL SERVICES PLLC

Practice address

25 Owen St
Belleville, MI 48111-2921

Phone

(734) 699-5400

NPI assigned

Dec 22, 2014

Last updated

Dec 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Theodore Densley, MD

Title

Owner

Phone

(313) 699-5400

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1285022442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OWEN ST",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OWEN ST",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112921",
            "telephone_number": "734-699-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLECARE MEDICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "DENSLEY",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-699-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704265133",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301039079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Ban, OTRL
• Narcis Baran, PHARMD
• Aubrey Marie Barba, LPC
• Florence Bascom
• Elizabeth Scarlett Perry Bavers, MD
• Belleville Chiropractic Wellness Clinic PLC
• Belleville Family Health Center
• Belleville Health Care , P.C.
• Belleville Health Care PC
• Belleville Neighborhood Pharmacy

• Internal Medicine Physician in Belleville, MI
• Providers in Belleville, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.