Sabra M Bellovin, MD
Individual provider Active NPI Family Medicine Physician · Mathews, VA
NPI 1902943301 · NPPES record last updated Mar 19, 2018
Key facts
- NPI
- 1902943301
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 0101053562 (VA)
- Practice address
- 10980 Buckley Hall Road
Building 5
Mathews, VA 23109 - Phone
- (804) 725-9191
- Fax
- (804) 725-9120
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 |
|---|---|---|---|---|
| I20070413000222 | VA | Practitioner - Family Practice | 4981709300 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101053562 | VA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101053562 | VA | Yes |
Addresses
Primary practice location
10980 Buckley Hall Road
Building 5
Mathews, VA 23109
Mailing address
PO Box 866
Mathews, VA 23109-0866
Phone (804) 725-9191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 266789 | Other | VA | ANTHEM |
Other providers in Mathews, VA
- Ervin Anthony
- Ashley Murphy LMFT LLC
- Aurora Counseling Services PLLC
- Aurora Family Services
- Diana Lynn Bandurco
- Christine Bott-Schmuker
- Kimberly Odel Burnett
- Shannon D Burris
- Christy B. Brown, Inc.
- Commonwealth of Virginia State Board of Health
All providers in Mathews, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2018. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.