Kevin Raymond Bellows, DC
Individual provider Active NPI Orthopedic Chiropractor · Trumbull, CT
NPI 1952412751 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1952412751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Chiropractor 111NX0800X
- License
- 000584 (CT)
- Practice address
- 25 Lindeman Dr
Trumbull, CT 06611-4782 - Phone
- (203) 373-0315
- Fax
- (203) 373-0367
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
25 Lindeman Dr
Trumbull, CT 06611-4782
Phone (203) 373-0315
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051101001177 | CT | Practitioner - Chiropractic | 7810914439 | Practice locations: Trumbull, CT |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000584 | CT | MD | Clinical Social Worker |
| 584 | CT | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 000584 | CT | Yes |
Addresses
Primary practice location
25 Lindeman Dr
Trumbull, CT 06611-4782
Mailing address
25 Lindeman Dr
Trumbull, CT 06611-4782
Phone (203) 373-0315
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4082187 | Medicaid | CT |
Other providers in Trumbull, CT
- Andrew Beck
- Victoria R. Beckett
- Steven D Beckoff
- Michelle Bedson
- Sharon Beesley
- Samantha Belmont
- Danielle P Benaviv-Meskin
- Benchmark Assisted Living LLC
- Sara Benerofe
- David M Bennett
All providers in Trumbull, CT · Orthopedic Chiropractor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.