Provider Demographics
NPI:1922064450
Name:BELOTE, LARRY PIERCE (MD)
Entity Type:Individual
Prefix:
First Name:LARRY
Middle Name:PIERCE
Last Name:BELOTE
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 1:740 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20132-3128
Mailing Address - Country:US
Mailing Address - Phone:540-338-7180
Mailing Address - Fax:540-338-6671
Practice Address - Street 1:740 E MAIN ST
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-3128
Practice Address - Country:US
Practice Address - Phone:540-338-7180
Practice Address - Fax:540-338-6671
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8100463OtherMAMSI
VA7232450OtherAETNA EPO
VAC2490001OtherCAREFIRST
VA141753OtherANTHEM
VA0100026OtherUNITED HEALTH CARE
VA10201217OtherCIGNA
VA9910OtherKAISER
VA0708074OtherAETNA HMO
VA248739OtherGREAT WEST ONE HEALTH
VA9910OtherKAISER
B09021Medicare UPIN