Provider Demographics
NPI:1508968025
Name:BELLINGER, BRIAN K (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:K
Last Name:BELLINGER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 F STREET
Mailing Address - Street 2:SUITE 3, PMB737
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521
Mailing Address - Country:US
Mailing Address - Phone:707-308-2992
Mailing Address - Fax:707-800-6640
Practice Address - Street 1:822 G ST STE 11
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-6224
Practice Address - Country:US
Practice Address - Phone:707-308-2992
Practice Address - Fax:707-800-6640
Is Sole Proprietor?:No
Enumeration Date:2006-09-04
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC27012111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA357303900OtherFEDERAL WORKERS' COMP
CADC27012OtherCA CHIROPRACTIC LICENSE
CADC0270120Medicaid
CADC27012OtherCA CHIROPRACTIC LICENSE
CADC0270120Medicaid