NPI 1235225376 · live from the CMS NPI Registry
Jack Linn Bellah, MD
Orthopaedic Surgery in Fort Bragg, CA. National Provider Identifier 1235225376, active.
NPI record
| NPI | 1235225376 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 721 River Dr, Suite B, Fort Bragg, CA 95437 |
| Practice phone | 707-964-6910 |
| Mailing address | Po Box 34120, Reno, NV 89533 |
| Enumerated | October 5, 2006 |
| Last updated | October 10, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | G47828 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.