Active NPI
Seth Albert Bellister, M.D.
- Surgery Physician
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 01091337A
- Practice address
- 3885 Brighton Creek Cir
Tyler, TX 75707-1676 - Phone
- (775) 747-5459
- NPI assigned
- Aug 21, 2012
- Last updated
- Dec 29, 2023
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101261822 | VA | |
| Surgery Physician | 208600000X | BP10034463 | TX | |
| Surgery Physician | 208600000X | 01091337A | IN | Primary |
| Trauma Surgery Physician | 2086S0127X | 56337 | TN | |
| Trauma Surgery Physician | 2086S0127X | R8863 | TX | |
| Trauma Surgery Physician | 2086S0127X | 01091337A | IN |
Addresses
Primary practice location
3885 Brighton Creek Cir
Tyler, TX 75707-1676
Mailing address
3885 Brighton Creek Cir
Tyler, TX 75707-1676
Other practice location 1
6431 Fannin St
Houston, TX 77030-1501
Phone (713) 500-7216
Other practice location 2
1211 21st Ave S # Mab404
Nashville, TN 37212-2717
Phone (615) 936-0303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL, MI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Nevada School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7900 W Jefferson Blvd
Suite 306
Fort Wayne, IN 46804-4128
Phone (260) 458-3610
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10034463 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HSHS Prairie, Inc | Current | Accepting new patients | |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Springfield Clinic LLP | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Covenant Medical Center Inc | Current | Accepting new patients | |
| Covenant Medical Center, Inc | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Lutheran Medical Group LLC | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Surgery | Current | Accepting new patients |
| HSHS Prairie, Inc | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Current | Accepting new patients |
Locations
226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050
1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889
1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100
9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511
2516 E DuPont Rd
Fort Wayne, IN 46825
Phone (260) 434-6076
6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514
7900 W Jefferson Blvd
Ste 306
Fort Wayne, IN 46804
Phone (260) 458-3610
7910 W Jefferson Blvd
Ste 112
Fort Wayne, IN 46804
Phone (260) 969-7121
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- sbellister224753@christushealth.direct-ci.net
- sbellister3930589@direct.trinity-health.org
- sbellistermd41372@direct.utmb.edu
- sethbellister@sfc.allscriptsdirect.net
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Fort Wayne, IN
- NPI 1164662805
-
dba Christus Trinity Clinic
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
dba Covenant HealthCare
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
dba Christus Trinity Clinic
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
dba MercyOne Medical Group Northeast Iowa
- Family Medicine Physician
- Waterloo, IA
- NPI 1548288160
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
-
dba MercyOne Evansdale home medical equipment
- Customized Equipment (DME)
- Evansdale, IA
- NPI 1851141980
-
dba HSHS Medical Group Family Medicine - Dieterich
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
-
- Internal Medicine Physician
- Springfield, IL
- NPI 1912330317
-
- Durable Medical Equipment & Medical Supplies
- Fort Wayne, IN
- NPI 1710275664
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
-
- Critical Access Hospital
- Rochester, IN
- NPI 1265413405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703808000000",
"number": "1891043956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3885 BRIGHTON CREEK CIR",
"city": "TYLER",
"state": "TX",
"postal_code": "757071676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3885 BRIGHTON CREEK CIR",
"city": "TYLER",
"state": "TX",
"postal_code": "757071676",
"telephone_number": "775-747-5459"
}
],
"practiceLocations": [
{
"address_1": "6431 Fannin St",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770301501",
"country_code": "US",
"telephone_number": "713-500-7216",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1211 21st Ave S # Mab404",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372122717",
"country_code": "US",
"telephone_number": "615-936-0303",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELLISTER",
"first_name": "SETH",
"middle_name": "ALBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-21",
"last_updated": "2023-12-29",
"certification_date": "2023-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101261822",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "BP10034463",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IN",
"license": "01091337A",
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TN",
"license": "56337",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "TX",
"license": "R8863",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "IN",
"license": "01091337A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.