John Bellville, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

49729-020 Issued in WI

Practice address

920 NW Bond St
Suite 204B
Bend, OR 97703-2762

Phone

(971) 237-2418

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective May 17, 2015 through May 17, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Laura Gillas LLC

  • Social Worker
  • McMinnville, OR
  • NPI 1174764989
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1497832018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 711",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971280711",
            "telephone_number": "971-237-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 NW BOND ST",
            "address_2": "SUITE 204B",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032762",
            "telephone_number": "971-237-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLVILLE",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "49729-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael L Bell, M.D.
• Shea Bell
• Bellevue Healthcare II Inc
• Megan Bellig
• Cinthia Bello Monsivais
• Mark Gregory Belza, M.D.
• Barbara S Belzer, LCSW
• Veronica Beman
• Cole Daniel Bemboom, PHARM. D
• Fiona Isabel Ben-Ora

• Psychiatry Physician in Bend, OR
• Providers in Bend, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.