Individual provider Active NPI

Michael Allen Bellamy, D.O.

  • Emergency Medicine Physician
  • Powell, WY
National Provider Identifier
1497076152
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2018-02201 Issued in NC
Practice address
777 Avenue H
Powell, WY 82435-2260
Phone
(307) 754-2267
NPI assigned
Jun 17, 2010
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 16295A WY
Emergency Medicine Physician 207P00000X 70530 GA
Emergency Medicine Physician 207P00000X 2018-02201 NC Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address mbellamy720815@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191202002073 NC Practitioner - Emergency Medicine 4486972775 Reassigns benefits to 2 organizations
I20240401002833 WY Practitioner - Emergency Medicine 4486972775 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
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 DistrictGroup PAC ID 1254314107, shared by 3 NPIs, 14 clinicians
Powell Valley Healthcare IncGroup PAC ID 5092798561, shared by 5 NPIs, 31 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
70530GAMDEmergency Medicine Physician
2018-02201NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hoke Emergency Group, PC Emergency Medicine CurrentSince Nov 20, 2022 Accepting new patients
Sandhills Emergency Physicians PA CurrentSince Sep 15, 2019 Accepting new patients
South Big Horn County Hospital District Current Accepting new patients
South Big Horn County Hospital District CurrentSince May 21, 2025 Accepting new patients
Powell Valley Health Care Inc CurrentSince May 1, 2024 Accepting new patients
Powell Valley Healthcare Inc Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
University of North Carolina at Chapel Hill Emergency Medicine CurrentSince Jul 1, 2021 Accepting new patients
South Big Horn County Hospital District CurrentSince May 21, 2025 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

  • Direct secure messaging: mbellamy10224@capefearvalley.direct-ci.com
  • Direct secure messaging: mbellamy720815@direct.unc.nchie.net
  • Direct secure messaging: michael.bellamy@powellvalleyhealthcare.cernerdirect.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.