Provider Demographics
NPI:1710905377
Name:BELLOR, JAMES R JR (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:R
Last Name:BELLOR
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5450 KNOLL NORTH DR
Mailing Address - Street 2:SUITE 275
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2300
Mailing Address - Country:US
Mailing Address - Phone:410-964-6139
Mailing Address - Fax:410-740-8658
Practice Address - Street 1:5450 KNOLL NORTH DR
Practice Address - Street 2:SUITE 275
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2300
Practice Address - Country:US
Practice Address - Phone:410-964-6139
Practice Address - Fax:410-740-8658
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2010-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0039652207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP00228699OtherMEDICARE RAILROAD
E66120Medicare UPIN
MD006N836FMedicare PIN