Pavani Bellary, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

L8281 Issued in TX

Practice address

2260 College Ave
Fort Worth, TX 76110-1952

Phone

(682) 268-1152

Fax

(817) 818-1766

NPI assigned

Jun 30, 2005

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1841297330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12056",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761108056",
            "telephone_number": "682-268-1152",
            "fax_number": "817-818-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 COLLEGE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761101952",
            "telephone_number": "682-268-1152",
            "fax_number": "817-818-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLARY",
        "first_name": "PAVANI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L8281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella Vida Counseling
• Christopher Garth Bellah, PHD
• Lisa Danielle Bellah, PH.D.
• Bellaire Outpatient Surgery Center, LLP
• Bryan Bellamy
• Bellehaven Care PLLC
• Ryan James Bellinger
• Kaila Bellinghausen, MS, LPC, RPT
• Elizabeth Nichole Bellows, FNP-C
• Belltime LLC

• Internal Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.