Active NPI
David Allen Bellows, MD
- Neuro-ophthalmology Physician
- Manchester, NH
National Provider Identifier
1356315493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuro-ophthalmology Physician
- License
- 6235
- Practice address
- 250 River Rd
Manchester, NH 03104 - Phone
- (603) 668-2020
- Fax
- (603) 668-0881
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 6235 | NH | |
| Neuro-ophthalmology Physician | 207WX0109X | 6235 | NH | Primary |
Addresses
Primary practice location
250 River Rd
Manchester, NH 03104
Mailing address
250 River Rd
Manchester, NH 03104
Phone (603) 668-2020
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B86149 | Other | HARVARD | |
| 010697540NH01 | Other | NH | ANTHEM |
| 30010798 | Medicaid | NH | |
| 5850 | Other | CIGNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6235 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552521600000",
"number": "1356315493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 RIVER RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03104",
"telephone_number": "603-668-2020",
"fax_number": "603-668-0881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 RIVER RD",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "03104",
"telephone_number": "603-668-2020",
"fax_number": "603-668-0881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLOWS",
"first_name": "DAVID",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2019-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NH",
"license": "6235",
"primary": false
},
{
"code": "207WX0109X",
"taxonomy_group": "",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": "NH",
"license": "6235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD",
"identifier": "B86149",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "010697540NH01",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30010798",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5850",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.