Healthcare Provider Details

I. General information

NPI: 1164169165
Provider Name (Legal Business Name): ADAM BELLFIELD PA-C, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ADAM SCOFIELD

II. Dates (important events)

Enumeration Date: 05/19/2022
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD
GAINESVILLE FL
32610-3003
US

IV. Provider business mailing address

3546 IRISH LN
PORT ORANGE FL
32129-3699
US

V. Phone/Fax

Practice location:
  • Phone: 352-265-0535
  • Fax: 352-627-4173
Mailing address:
  • Phone: 386-547-1769
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA9120215
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA8865
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: