MEDICARE: JEFFERY L BELDEN 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	207Q00000X	Family Medicine Physician	35732	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19004	OTHER	MO	BLUE CHOICE
2	19004	OTHER	MO	BLUE SHIELD
3	102404	OTHER	MO	HEALTHLINK
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	7309005	OTHER	MO	HEALTHCARE

General Provider Information

NPI Number	:	1871551739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFERY L BELDEN MD

Provider Business Mailing Address
First Line	:	PO BOX 843966
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64184-3966
Country	:	US
Telephone Number	:	573-882-3300
Fax Number	:	573-884-0943

Provider Business Practice Location Address
First Line	:	551 E SOUTHAMPTON DR
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-4236
Country	:	US
Telephone Number	:	573-884-7733
Fax Number	:	573-882-6228

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

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	04/13/2018

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