Scott James Belham, ATC, OPA-C
Individual provider Active NPI Athletic Trainer · Gulfport, MS
NPI 1477531259 · NPPES record last updated Feb 1, 2014
Key facts
- NPI
- 1477531259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- AT0051 (MS)
- Practice address
- 12356 Windance Dr
Gulfport, MS 39503-7778 - Phone
- (228) 547-0318
- Fax
- (228) 831-0318
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT0051 | MS | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT0051 | MS | Yes |
Addresses
Primary practice location
12356 Windance Dr
Gulfport, MS 39503-7778
Mailing address
12356 Windance Dr
Gulfport, MS 39503-7778
Phone (228) 547-0318
Other providers in Gulfport, MS
- Beautiful U
- Elizabeth Becker
- Meoshe Beckworth
- Mubeena Begum
- Randi Beiner
- Belinda Harrell Holden Aprn-BC LLC
- Belk Eye Clinic, PA
- Craig R Belk
- Kami Bell
- Sophia Bellew
All providers in Gulfport, MS · Athletic Trainer in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.