Organization Active NPI

Gary C Bellman M D a Professional Corporation

  • Urology Physician
  • West Hills, CA
National Provider Identifier
1629357736
Registry record updated Mar 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
GARY C BELLMAN M D A PROFESSIONAL CORPORATION
Practice address
23101 Sherman PL
Suite 402
West Hills, CA 91307-2003
Phone
(818) 912-1899
Fax
(818) 703-0995
NPI assigned
Aug 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2014

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

Authorized official

Name
Gary C Bellman, M.D.NPI 1588735468
Title
President/Owner
Phone
(818) 703-9500

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

23101 Sherman PL
Suite 402
West Hills, CA 91307-2003

Mailing address

22647 Ventura Blvd
Sutie 177
Woodland Hills, CA 91364-1416
Phone (818) 912-1899

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110916000422 CA Part B Supplier - Clinic/Group Practice 1658542956 Receives reassigned benefits from 1 practitioner
Practice locations: West Hills, CA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: garybellman@bellmanurology.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 1

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": "1312588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1629357736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22647 VENTURA BLVD",
            "address_2": "SUTIE 177",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641416",
            "telephone_number": "818-912-1899",
            "fax_number": "818-703-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23101 SHERMAN PL",
            "address_2": "SUITE 402",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913072003",
            "telephone_number": "818-912-1899",
            "fax_number": "818-703-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY C BELLMAN M D A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-06",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "BELLMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-703-9500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.