Provider Demographics
NPI:1720192438
Name:BELK, CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:BELK
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 1:125 EXECUTIVE DR
Mailing Address - Street 2:SUITE L
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-4155
Mailing Address - Country:US
Mailing Address - Phone:434-799-4200
Mailing Address - Fax:434-792-3925
Practice Address - Street 1:125 EXECUTIVE DR
Practice Address - Street 2:SUITE L
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-4155
Practice Address - Country:US
Practice Address - Phone:434-799-4200
Practice Address - Fax:434-792-3925
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0764402085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA24866OtherBLUE CROSS, DDIC
VA248665OtherBLUE CROSS, DRI
NC5905911Medicaid
VAP00373706OtherRR MCRE, DRI
VAP00283339OtherRR MEDICARE, DDIC
VAP00283339OtherRR MEDICARE, DDIC
VA24866OtherBLUE CROSS, DDIC