Brian K Bellinger, D.C.
Individual provider Active NPI Chiropractor · Arcata, CA
NPI 1508968025 · NPPES record last updated Jun 29, 2023
Key facts
- NPI
- 1508968025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC27012 (CA)
- Practice address
- 822 G St Ste 11
Arcata, CA 95521-6224 - Phone
- (707) 308-2992
- Fax
- (707) 800-6640
- NPI assigned
- Sep 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
822 G St
Suite 11
Arcata, CA 95521-6224
Phone (707) 308-2992
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120314000624 | CA | Practitioner - Chiropractic | 9830358621 |
Reassigns benefits to 1 organization Practice locations: Arcata, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC27012 | CA | MD | Chiropractor |
| 27012 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Care Chiropractic, Fogg Professional Corporation | Chiropractor | Current |
Accepting new patients |
Locations
655 F St
Arcata, CA 95521
Phone (707) 822-2224
1775 Harrison Ave
Eureka, CA 95501
Phone (707) 445-8080
1775 Harrison Ave
Ste D
Eureka, CA 95501
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC27012 | CA | Yes |
Addresses
Primary practice location
822 G St Ste 11
Arcata, CA 95521-6224
Mailing address
600 F Street
Suite 3, Pmb737
Arcata, CA 95521
Phone (707) 308-2992
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 357303900 | Other | CA | FEDERAL WORKERS' COMP |
| DC27012 | Other | CA | CA CHIROPRACTIC LICENSE |
| DC0270120 | Medicaid | CA |
Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2023. 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.
- 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.