Provider Demographics
NPI:1750657284
Name:BELCH, JEREMY MATTHEW (MD, MPH)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:MATTHEW
Last Name:BELCH
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 MCCARTHY BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-5237
Mailing Address - Country:US
Mailing Address - Phone:252-633-3942
Mailing Address - Fax:252-633-3332
Practice Address - Street 1:801 MCCARTHY BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5237
Practice Address - Country:US
Practice Address - Phone:252-633-3942
Practice Address - Fax:252-633-3332
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2016-00811207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2016-00811OtherNC LICENSE