Provider Demographics
NPI:1962515023
Name:BART, BELINDA K (MD)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:K
Last Name:BART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 NASHVILLE HWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38401-2071
Mailing Address - Country:US
Mailing Address - Phone:931-540-4210
Mailing Address - Fax:931-380-1202
Practice Address - Street 1:1605 NASHVILLE HWY
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-2071
Practice Address - Country:US
Practice Address - Phone:931-540-4210
Practice Address - Fax:931-380-1202
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31595207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3710080Medicaid
TN38391201Medicaid
TN3839128Medicaid
TN3710089Medicaid
TN3124202OtherBCBSTN
TN3710087Medicaid
3839128Medicare PIN
3710080Medicare PIN
TN3839128Medicaid
TN38391201Medicare PIN
TNG34817Medicare UPIN
TN3710080Medicaid
3710089Medicare PIN
TNCE0561Medicare PIN
TN103I088271Medicare PIN