MEDICARE: MR. STEVEN LEWIS BELMONT DNP, CRNA, APRN

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	163W00000X	Registered Nurse	080485	CT
2	367H00000X	Anesthesiologist Assistant
3	367500000X	Certified Registered Nurse Anesthetist	5008	CT

General Provider Information

NPI Number	:	1790043735
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN LEWIS BELMONT DNP, CRNA, APRN

Provider Business Mailing Address
First Line	:	7365 MAIN STREET
Second Line	:	BRIDGEPORT ANESTHESIA ASSOCIATES, PC , STE 310
City	:	STRATFORD
State	:	CT
Zip	:	06614-1300
Country	:	US
Telephone Number	:	203-384-3174
Fax Number	:	203-384-4619

Provider Business Practice Location Address
First Line	:	267 GRANT STREET
Second Line	:	BRIDGEPORT HOSPITAL - ANESTHESIA DEPT
City	:	BRIDGEPORT
State	:	CT
Zip	:	06610-0120
Country	:	US
Telephone Number	:	203-384-3174
Fax Number	:	203-384-4619

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2012
Last Update Date	:	12/21/2020

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