Active NPI
Stephan Paul Bellande
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Bremerton, WA
National Provider Identifier
1881189009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 60047630
- Practice address
- 1292 NE Mount Olympus LN Apt B303
Bremerton, WA 98311-3893 - Phone
- (360) 701-1851
- NPI assigned
- Jun 29, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 60047630 | WA | Primary |
Addresses
Primary practice location
1292 NE Mount Olympus LN Apt B303
Bremerton, WA 98311-3893
Mailing address
1292 NE Mount Olympus LN Apt B303
Bremerton, WA 98311-3893
Phone (360) 701-1851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60047630 | WA | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1881189009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1292 NE MOUNT OLYMPUS LN APT B303",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983113893",
"telephone_number": "360-701-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1292 NE MOUNT OLYMPUS LN APT B303",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983113893",
"telephone_number": "360-701-1851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLANDE",
"first_name": "STEPHAN",
"middle_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-29",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "WA",
"license": "60047630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.