Bruce R. Belleville, MD, LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

21657 Issued in CO

Legal business name

BRUCE R. BELLEVILLE, MD, LLC

Practice address

2831 Skimmerhorn St
Fort Collins, CO 80526-6275

Phone

(970) 223-2274

Fax

(970) 223-2274

NPI assigned

Dec 22, 2009

Last updated

Dec 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Raymond Belleville, MD, MPHNPI 1073670873

Title

President

Phone

(970) 223-2274

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Raymond Belleville, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Fort Collins, CO
  • NPI 1073670873

  Pain Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1619206638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 SKIMMERHORN ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266275",
            "telephone_number": "970-223-2274",
            "fax_number": "970-223-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 SKIMMERHORN ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266275",
            "telephone_number": "970-223-2274",
            "fax_number": "970-223-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE R. BELLEVILLE, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "BELLEVILLE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-223-2274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CO",
            "license": "21657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis M Brown
• Joseph Vance Browne, D.O.
• Sara Browning, FNP
• Alison Paige Broyles, MD
• Bruce a. Lockwood, M.D. Inc.
• Alan Bruce, RBT
• Ava Arax Brueckner, MA, LPCC
• Samantha Ann Bruick, B.S.
• Jaydan Bruna
• Beth Stedman Bruner, MPT

• Pain Medicine Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Pain Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.