Ricky Lee Bellard, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0058042 Issued in FL

Practice address

1549 Airport Blvd
310
Pensacola, FL 32504-8633

Phone

(850) 416-7008

Fax

(850) 416-7003

NPI assigned

May 16, 2006

Last updated

Dec 29, 2011By 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 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Professional Agency Inc

  • Adult Medicine Physician
  • Pensacola, FL
  • NPI 1427174762
  NPD (past)

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1306898689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-416-7008",
            "fax_number": "850-416-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 AIRPORT BLVD",
            "address_2": "310",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048633",
            "telephone_number": "850-416-7008",
            "fax_number": "850-416-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLARD",
        "first_name": "RICKY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0058042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051563900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee M. Bell, MHRT-COMMUNITY
• Sarah Elizabeth Bell
• Sharon A Bell, LMHC
• Karen M Bellapianta, MD
• Ian Anthony Bellard, O.D.
• Jason T Bellmore, DO
• Stephanie Bello, APRN
• Sydney Bello, DMD
• Rachel James Bellone, M.D.
• Belly to Cradle, LLC (BloomWell)

• Family Medicine Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.