Individual provider Active NPI

Robert John Bellino, MD

  • Psychiatry Physician
  • Bradenton, FL
National Provider Identifier
1457462996
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME12825 Issued in FL
Practice address
1450 59TH Street West
Suite 100
Bradenton, FL 34209-4601
Phone
(941) 792-1544
Fax
(941) 794-8371
NPI assigned
Aug 31, 2006
Last updated
Jun 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME12825 FL Primary
Psychiatry Physician 2084P0800X 011276 GA

Addresses

Primary practice location

1450 59TH Street West
Suite 100
Bradenton, FL 34209-4601

Mailing address

1450 59TH Street West
Suite 100
Bradenton, FL 34209-4601
Phone (941) 792-1544

Other identifiers 2

IdentifierTypeStateIssuer
159622500OtherOWCP
048765100MedicaidFL

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

LicenseStateTypeSpecialty
ME12825FLMDPsychiatry Physician
011276GAMDPsychiatry Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1457462996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 59TH STREET WEST",
            "address_2": "SUITE 100",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094601",
            "telephone_number": "941-792-1544",
            "fax_number": "941-794-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 59TH STREET WEST",
            "address_2": "SUITE 100",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094601",
            "telephone_number": "941-792-1544",
            "fax_number": "941-794-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLINO",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME12825",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "011276",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "159622500",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048765100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.