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General NPI Number Information
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NPI Number | 1508386921
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Entity Type | Organization
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Legal Business Name | BELLVILLE MEDICAL CENTER
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 235 W PALM ST
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City | BELLVILLE
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State | TX
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Zip | 77418-1372
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Country | US
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Telephone | 979-413-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 305 SANDY CORNER RD
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City | EL CAMPO
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State | TX
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Zip | 77437-9535
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Country | US
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Telephone | 979-543-5510
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. BRETT KIRKHAM
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Credential |
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Telephone | 979-543-6251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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