Healthcare Provider Details

I. General information

NPI: 1942145529
Provider Name (Legal Business Name): BELLMONT INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 S GREEN VALLEY PKWY
HENDERSON NV
89012-3132
US

IV. Provider business mailing address

170 S GREEN VALLEY PKWY STE 300
HENDERSON NV
89012-3145
US

V. Phone/Fax

Practice location:
  • Phone: 702-746-0040
  • Fax:
Mailing address:
  • Phone: 702-746-0040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QS1200X
TaxonomySleep Disorder Diagnostic Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSE R TRIANA
Title or Position: MENBER
Credential:
Phone: 702-746-0040