Provider Demographics
NPI:1609962992
Name:DINCER, BULENT (MD)
Entity Type:Individual
Prefix:
First Name:BULENT
Middle Name:
Last Name:DINCER
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 1:517 EAST WATERS EDGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62221-7813
Mailing Address - Country:US
Mailing Address - Phone:618-304-7235
Mailing Address - Fax:618-304-7235
Practice Address - Street 1:517 E WATERS EDGE DR
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:IL
Practice Address - Zip Code:62221-7813
Practice Address - Country:US
Practice Address - Phone:618-304-7235
Practice Address - Fax:618-304-7235
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036063633207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1609962992OtherTRICARE PRIME ID#
IL1609962992OtherUHC ID#
IL2092189OtherFIRST HEALTH ID#
IL000000574721OtherBCBS OF MO ID#
IL100603OtherHEALTHLINK ID#
IL1609962992OtherUPREHS
IL0891394OtherCIGNA ID#
IL111197OtherHEALTH ALLIANCE ID#
IL4000254OtherAETNA ID#
IL1609962992OtherBCBS OF IL ID#
IL1609962992OtherGREAT WEST ID#
IL1609962992AAOtherESSENCE ID#
IL344038OtherGHP ID#
IL1609962992OtherTRICARE STANDARD ID#
IL256717OtherWELLCARE ID#
IL322675459OtherHMO OF ILLINOIS ID#
IL100603OtherHEALTHLINK ID#
IL0891394OtherCIGNA ID#