Mark Robert Bellucci, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

000701 Issued in CT

Practice address

155 Hazard Ave
Enfield, CT 06082-4580

Phone

(860) 763-4848

Fax

(860) 763-4850

NPI assigned

Jul 12, 2006

Last updated

Mar 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mark@bcc0027.direct.chirotouch.md

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488412800000",
    "number": "1790700979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824580",
            "telephone_number": "860-763-4848",
            "fax_number": "860-763-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HAZARD AVE",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824580",
            "telephone_number": "860-763-4848",
            "fax_number": "860-763-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLUCCI",
        "first_name": "MARK",
        "middle_name": "ROBERT",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "000701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Brittany Beaupre, PA
• John D Bedford, M.D.
• William Behan
• Marissa Belanger
• Sarah Belanger
• Hunter M Belzo
• Heather Benda
• Edward Harris Benjamin, M.D.
• Lawrence S. Benjamin, PA-C
• Yolanda Benjamin

• Chiropractor in Enfield, CT
• Providers in Enfield, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.