Bellefonte Physician Services, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BELLEFONTE PHYSICIAN SERVICES, INC.

Doing business as

Bellefonte Pediatrics Russell

Practice address

1061 Kenwood Dr
Russell, KY 41169-1527

Phone

(606) 833-6750

NPI assigned

Jul 30, 2012

Last updated

Nov 13, 2018By 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

Troy Connett

Title

Director of Finance

Phone

(606) 833-3333

Specialties & licenses 2

Addresses

Other names 1

• Bellefonte Pediatrics Russell Doing business as

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1780930560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2155",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052155",
            "telephone_number": "606-833-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 KENWOOD DR",
            "city": "RUSSELL",
            "state": "KY",
            "postal_code": "411691527",
            "telephone_number": "606-833-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEFONTE PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "CONNETT",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "606-833-3333"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellefonte Pediatrics Russell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellefonte Pediatrics Russell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Appalachian Healing Network
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• Ashland Hospital Coporation (Kings Daughters Medical Center Behavioral Health)
• Ashland Medical Group
• Bellefonte Family Dental Care, PSC
• Tiffany Blanton, LPCC, NCC
• Brittany Block, APRN
• Bodyworx Physical Therapy & Chiropractic Wellness Center PLLC
• Bodyworx Spine & Chiropractic PLLC
• Kelli Brown, MD

• Pediatrics Physician in Russell, KY
• Providers in Russell, KY by specialty
• Pediatrics Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.