Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 01066852A | IN |
N | 207X00000X | Orthopaedic Surgeon | P0345 | TX |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 01066852A | IN |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 60396 | MN |
NPI | 1205093689 |
---|---|
Provider Name | Dr. Joseph Edward Bellamy |
First Address | Indianapolis, IN 46219-4959 |
Second Address | Edina, MN 55439-2516 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 05/05/2021 |