Brittany D Bellomy, CDCA
Individual provider Active NPI Case Manager/Care Coordinator · Ironton, OH
NPI 1881253136 · NPPES record last updated Mar 26, 2020
Key facts
- NPI
- 1881253136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- CDCA.170242 (OH)
- Practice address
- 700 Park Ave
Ironton, OH 45638-1502 - Phone
- (740) 532-1613
- NPI assigned
- Jun 11, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.170242 | OH | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CDCA.170242 | OH | Yes |
Addresses
Primary practice location
700 Park Ave
Ironton, OH 45638-1502
Mailing address
PO Box 108
Ironton, OH 45638-0108
Phone (740) 532-1613
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0353323 | Medicaid | OH |
Other providers in Ironton, OH
- Derian Marie Beekman
- Jennifer Lee Belcher
- Bellefonte Physician Services, Inc
- Bellefonte Physician Services, Inc
- Bellefonte Physician Services, Inc.
- Charlotte Bellomy
- Urian Martin Benicker
- Angela R Bennington
- Bentley Rxpress Pharmacy Inc
- Cheri Bentley
All providers in Ironton, OH · Case Manager/Care Coordinator in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.