Individual provider Active NPI

Seth Albert Bellister, M.D.

  • Surgery Physician
  • Tyler, TX
National Provider Identifier
1891043956
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01091337A Issued in IN
Practice address
3885 Brighton Creek Cir
Tyler, TX 75707-1676
Phone
(775) 747-5459
NPI assigned
Aug 21, 2012
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20181001001344 TX Practitioner - General Surgery 9537433727 Reassigns benefits to 2 organizations
I20230508001403 IL Practitioner - General Surgery 9537433727 Reassigns benefits to 1 organization
I20230921003388 MI Practitioner - General Surgery 9537433727 Reassigns benefits to 1 organization
I20231229001295 IN Practitioner - General Surgery 9537433727 Reassigns benefits to 1 organization

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
Lutheran Medical Group LLCGroup PAC ID 4981751617, 251 clinicians

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

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10034463TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Prairie, Inc CurrentSince Jun 1, 2023 Accepting new patients
Lutheran Medical Group LLC CurrentSince Dec 11, 2023 Accepting new patients
Springfield Clinic LLP Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 19, 2020 Accepting new patients
Covenant Medical Center Inc CurrentSince Oct 16, 2023 Accepting new patients
Covenant Medical Center, Inc CurrentSince Sep 20, 2023 Accepting new patients
Mercy Medical Center Current Accepting new patients
Lutheran Medical Group LLC CurrentSince Dec 11, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jun 19, 2020 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Oct 16, 2023 Accepting new patients
HSHS Medical Group Inc CurrentSince Jun 1, 2023 Accepting new patients
Utmb Faculty Group Practice Surgery CurrentSince Sep 7, 2018 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

  • Direct secure messaging: sbellister224753@christushealth.direct-ci.net
  • Direct secure messaging: sbellister3930589@direct.trinity-health.org
  • Direct secure messaging: sbellistermd41372@direct.utmb.edu
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.