Stephen J. Bellorini, D.M.D.
Individual provider
Active NPI
Dentist · Brewster, MA
NPI 1962432922 · NPPES record last updated Apr 4, 2011
Key facts
- NPI
- 1962432922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 22060 (MA)
- Practice address
- 11 Baystate CT
Brewster, MA 02631
- Phone
- (508) 255-0111
- Fax
- (508) 255-1160
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20150313001557 |
MA |
Order and Referring Only - Other (Physician)
Practitioner - Other (Physician) |
9234455098 |
|
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 22060 | MA | MD | Pharmacist |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Dentist |
122300000X |
22060 |
MA |
Yes |
Addresses
Primary practice location
11 Baystate CT
Brewster, MA 02631
Mailing address
11 Baystate CT
Brewster, MA 02631
Phone (508) 255-0111
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 22060 | Other | MA | MASS HEALTH |
Other providers in Brewster, MA
- Robert C Babin, PA-C
- Neil Barney, D.P.M
- Desiree Bassett, DPT
- Be Well Wellbeing Cape Cod LLC
- Priscilla Ann Bellerose
- Dana S Bennett, MSW LICSW BCD
- Abigail Usen Berner, MS, RD, LDN
- Beverly Ann Biondi, PT
- Maryalice Oshana Biondi, PT
- Michael Blanchard, LADC-II
All providers in Brewster, MA
· Dentist in Massachusetts