Brian K Bellamy, M.D.
Individual provider Active NPI Family Medicine Physician · Clinton, MO
NPI 1851323901 · NPPES record last updated Dec 20, 2021
Key facts
- NPI
- 1851323901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 110543 (MO)
- Practice address
- 1602 N 2ND St
Clinton, MO 64735-1192 - Phone
- (660) 885-8171
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Missouri, Columbia School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Golden Valley Memorial Hospital District
Practice addresses (Care Compare)
1600 N 2ND St
Clinton, MO 64735-1192
Phone (660) 885-8171
Hospital & facility affiliations
- Novus Lifecare
- Citizens Memorial Home Health
- St. Croix Hospice
- Golden Valley Memorial Hospital
- Saint Luke'S South Hospital
- Saint Luke'S East Hospital
- St Lukes Hospital of Kansas City
- Clinton Healthcare and Rehabilitation Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050523000334 | MO | Practitioner - Family Practice | 9931140720 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Valley Memorial Hospital District | Current | Accepting new patients | |
| Golden Valley Memorial Hospital District | Current |
Accepting new patients | |
| Golden Valley Memorial Hospital District | Current |
Accepting new patients | |
| Golden Valley Memorial Hospital District | Past | Accepting new patients |
Locations
603 E Gaines Dr
Clinton, MO 64735
Phone (660) 885-8141
1602 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171
1600 N 2nd St
Clinton, MO 64735
Phone (660) 885-8171
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 110543 | MO | Yes |
Addresses
Primary practice location
1602 N 2ND St
Clinton, MO 64735-1192
Mailing address
1602 N 2ND St
Clinton, MO 64735-1192
Phone (660) 885-8171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203963301 | Medicaid | MO |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brianbellamy@mhccaremail.com |
Other providers in Clinton, MO
- Margaret Ann Barr
- Cathryn Rae Barth
- Jody Michelle Baslee
- Justine Bayliff
- Paula Paige Bearden
- Bruce G. Bellamy
- Emily Bellamy
- Graham Bellamy
- Walter L Bender
- Wendy J Bennett
All providers in Clinton, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.