Organization Active NPI

Bellevue Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Hattiesburg, MS
National Provider Identifier
1629300512
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BELLEVUE SURGERY CENTER, LLC
Practice address
7125 Highway 98
Bellevue Surgery Center, LLC
Hattiesburg, MS 39402
Phone
(601) 450-7249
Fax
(601) 450-7250
NPI assigned
Feb 3, 2010
Last updated
Feb 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Dr. Bretley Todd Sitzman, M.D.NPI 1295845311
Title
Board Chairman, Bellevue Surgery Ce
Phone
(601) 466-0474

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

7125 Highway 98
Bellevue Surgery Center, LLC
Hattiesburg, MS 39402

Mailing address

P.O. Box 18260
Bellevue Surgery Center, LLC
Hattiesburg, MS 39404-8260
Phone (601) 450-7249

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2003134Bellevue Surgery Center7125 Highway 98 West, Hattiesburg, MS 39402Certificate of waiverFeb 2, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1629300512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 18260",
            "address_2": "BELLEVUE SURGERY CENTER, LLC",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394048260",
            "telephone_number": "601-450-7249",
            "fax_number": "601-450-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 HIGHWAY 98",
            "address_2": "BELLEVUE SURGERY CENTER, LLC",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-450-7249",
            "fax_number": "601-450-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "SITZMAN",
        "authorized_official_first_name": "BRETLEY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "BOARD CHAIRMAN, BELLEVUE SURGERY CE",
        "authorized_official_telephone_number": "601-466-0474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.