MEDICARE: CHERYL M BELLE MD P C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	0101049033	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	F79333	OTHER		UPIN
2	0101049033	OTHER	VA	STATE ID
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	49D1042521	OTHER		CLIA

General Provider Information

NPI Number	:	1700078383
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHERYL M BELLE MD P C

Provider Business Mailing Address
First Line	:	2809 NORTH AVE
Second Line	:	SUITE 100
City	:	RICHMOND
State	:	VA
Zip	:	23222-3647
Country	:	US
Telephone Number	:	804-321-1400
Fax Number	:	804-329-8461

Provider Business Practice Location Address
First Line	:	2809 NORTH AVE
Second Line	:	SUITE 100
City	:	RICHMOND
State	:	VA
Zip	:	23222-3647
Country	:	US
Telephone Number	:	804-321-1400
Fax Number	:	804-329-8461

Authorized Official
Title or Position	:	FAMILY PRACTICE PROVIDER
Name	:	DR. CHERLY M. BELLE
Credential	:	M. D.
Telephone Number	:	804-321-1400

Provider Enumeration Date	:	08/16/2007
Last Update Date	:	03/07/2023

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