Organization Active NPI

Belmar Cardiopulmonary Diagnostic Center PLLC

  • Clinic/Center
  • Bellevue, WA
National Provider Identifier
1548996366
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BELMAR CARDIOPULMONARY DIAGNOSTIC CENTER PLLC
Practice address
520 112TH Ave NE
Bellevue, WA 98004-5558
Phone
(206) 730-9364
NPI assigned
Jul 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Mr. George D. Earley IV, RCP RRT CPFTNPI 1447553516
Title
Ceo
Phone
(910) 703-0928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

520 112TH Ave NE
Bellevue, WA 98004-5558

Mailing address

520 112TH Ave NE
Bellevue, WA 98004-5558
Phone (206) 730-9364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250528002313 WA Part B Supplier - Clinic/Group Practice 8729507223 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, WA

National Provider Directory

National Provider Directory

Locations

520 112th Ave NE
Bellevue, WA 98004
Phone (206) 730-9364

520 112th Ave NE
Ste 110
Bellevue, WA 98004
Phone (206) 730-9364

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1548996366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 112TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045558",
            "telephone_number": "206-730-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 112TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045558",
            "telephone_number": "206-730-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMAR CARDIOPULMONARY DIAGNOSTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-25",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "EARLEY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-703-0928",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "RCP RRT CPFT"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.