Individual provider Active NPI

Michael Alan Bellamy, M.D.

  • Pediatrics Physician
  • Lexington, NC
National Provider Identifier
1932246774
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
159936 Issued in NY
Practice address
8 Medical Park Dr
Lexington, NC 27292-6768
Phone
(336) 243-4911
Fax
(336) 249-1782
NPI assigned
Jan 31, 2007
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 159936 NY Primary

Addresses

Primary practice location

8 Medical Park Dr
Lexington, NC 27292-6768

Mailing address

8 Medical Park Drive
Wfuhs - Lexmedical Pediatrics
Lexington, NC 27292-6768
Phone (336) 243-4656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111216000745 NC Practitioner - Pediatric Medicine 4385819580 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
159936NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Nov 1, 2011 Accepting new patients
Bladen Healthcare LLC CurrentSince Dec 4, 2013 Accepting new patients
Bladen Healthcare LLC Current Accepting new patients
Wake Forest University Health Sciences CurrentSince Nov 1, 2011 Accepting new patients
Bladen Healthcare LLC CurrentSince Dec 4, 2013 Accepting new patients

Locations

300 E McKay St
#F
Elizabethtown, NC 28337
Phone (910) 862-6672

300A E McKay St
Elizabethtown, NC 28337
Phone (910) 862-5500

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

8 Medical Park Dr
Lexington, NC 27292
Phone (336) 238-0408

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: mbellamy10223@capefearvalley.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1932246774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PARK DRIVE",
            "address_2": "WFUHS - LEXMEDICAL PEDIATRICS",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926768",
            "telephone_number": "336-243-4656",
            "fax_number": "336-243-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PARK DR",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272926768",
            "telephone_number": "336-243-4911",
            "fax_number": "336-249-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAMY",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "159936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

Verify at the official NPI Registry.