Michael Allen Bellamy, D.O.
Individual provider Active NPI Emergency Medicine Physician · Powell, WY
NPI 1497076152 · NPPES record last updated May 29, 2024
Key facts
- NPI
- 1497076152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 2018-02201 (NC)
- Practice address
- 777 Avenue H
Powell, WY 82435-2260 - Phone
- (307) 754-2267
- NPI assigned
- Jun 17, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Big Horn County Hospital District
Powell Valley Healthcare Inc
Practice addresses (Care Compare)
388 US Hwy 20 S
Basin, WY 82410-8902
Phone (307) 568-3311
450 Mountain View
Powell, WY 82435-2212
Phone (307) 754-7257
Hospital & facility affiliations
- Powell Valley Hospital
- South Big Horn County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191202002073 | NC | Practitioner - Emergency Medicine | 4486972775 | Reassigns benefits to 2 organizations |
| I20240401002833 | WY | Practitioner - Emergency Medicine | 4486972775 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70530 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoke Emergency Group, PC | Emergency Medicine | Current |
Accepting new patients |
| Sandhills Emergency Physicians PA | Current |
Accepting new patients | |
| South Big Horn County Hospital District | Current |
Accepting new patients | |
| South Big Horn County Hospital District | Current |
Accepting new patients | |
| Powell Valley Health Care Inc | Current |
Accepting new patients | |
| Powell Valley Healthcare Inc | Emergency Medicine | Current |
Accepting new patients |
| South Big Horn County Hospital District | Current | Accepting new patients | |
| University of North Carolina at Chapel Hill | Emergency Medicine | Current |
Accepting new patients |
Locations
101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485
5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000
388 US Highway 20 S
Basin, WY 82410
Phone (307) 347-5810
450 Mountain View St
Powell, WY 82435
Phone (307) 754-2267
777 Avenue H
Powell, WY 82435
Phone (307) 754-1175
Interoperability endpoints
- mbellamy10224@capefearvalley.direct-ci.com
- michael.bellamy@powellvalleyhealthcare.cernerdirect.com
- mbellamy720815@direct.unc.nchie.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 16295A | WY | |
| Emergency Medicine Physician | 207P00000X | 70530 | GA | |
| Emergency Medicine Physician | 207P00000X | 2018-02201 | NC | Yes |
Addresses
Primary practice location
777 Avenue H
Powell, WY 82435-2260
Mailing address
777 Avenue H
Powell, WY 82435-2260
Phone (307) 754-2267
Other practice location 1
1061 Harmon Ave
Suite 1D03
Fort Stewart, GA 31314-5641
Phone (912) 435-6965
Other practice location 2
101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (919) 966-6442
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbellamy720815@direct.UNC.nchie.net | Direct |
NPI Registry JSON
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1497076152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 AVENUE H",
"city": "POWELL",
"state": "WY",
"postal_code": "824352260",
"telephone_number": "307-754-2267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 AVENUE H",
"city": "POWELL",
"state": "WY",
"postal_code": "824352260",
"telephone_number": "307-754-2267"
}
],
"practiceLocations": [
{
"address_1": "1061 Harmon Ave",
"address_2": "Suite 1D03",
"address_purpose": "LOCATION",
"city": "Fort Stewart",
"state": "GA",
"postal_code": "313145641",
"country_code": "US",
"telephone_number": "912-435-6965",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Manning Dr",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275144220",
"country_code": "US",
"telephone_number": "919-966-6442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELLAMY",
"first_name": "MICHAEL",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-17",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WY",
"license": "16295A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "70530",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2018-02201",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbellamy720815@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "101 Manning Dr",
"city": "Chapel Hill",
"state": "NC",
"country_code": "US",
"postal_code": "275144220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Powell, WY
- Kara Baus
- Mandi Jo Baxendale
- Kinsey Lynn Baxter
- Randall Keith Baxter
- Lael J. Beachler
- Anthony M Belmont III III
- Benjamen Bennett
- Gregory James Bennett
- Myra F Bennett
- Betty Louise Life Services LLC
All providers in Powell, WY · Emergency Medicine Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.