Provider Demographics
NPI:1215909742
Name:BELARDI, FRANCIS GABRIEL (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:GABRIEL
Last Name:BELARDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GUTHRIE SQ
Mailing Address - Street 2:
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-1625
Mailing Address - Country:US
Mailing Address - Phone:570-888-5858
Mailing Address - Fax:
Practice Address - Street 1:1 GUTHRIE SQ
Practice Address - Street 2:
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840-1625
Practice Address - Country:US
Practice Address - Phone:570-888-5858
Practice Address - Fax:570-887-3007
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2011-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD071136L207Q00000X
NY191831-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACC9269OtherRR MEDICARE GROUP
PAGU039851OtherMEDICARE GROUP
PA080170530OtherRR MEDICARE
PA0017996140001Medicaid
NV01408084Medicaid
A75730Medicare UPIN
PA080170530OtherRR MEDICARE
PACC9269OtherRR MEDICARE GROUP