MEDICARE: TROY ALLYN BELLE MD

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	2085R0202X	Diagnostic Radiology Physician	0101239458	VA
2	2085R0202X	Diagnostic Radiology Physician	DR.0042796	CO

General Provider Information

NPI Number	:	1629031299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TROY ALLYN BELLE MD

Provider Business Mailing Address
First Line	:	22100 BOTHELL EVERETT HWY
Second Line	:
City	:	BOTHELL
State	:	WA
Zip	:	98021-8431
Country	:	US
Telephone Number	:	208-416-2932
Fax Number	:

Provider Business Practice Location Address
First Line	:	1058 S RACE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80209-4613
Country	:	US
Telephone Number	:	720-883-2547
Fax Number	:

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

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	08/04/2023

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