Provider Demographics
NPI:1700078383
Name:CHERYL M BELLE MD P C
Entity Type:Organization
Organization Name:CHERYL M BELLE MD P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PRACTICE PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:BELLE
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:804-321-1400
Mailing Address - Street 1:2809 NORTH AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23222-3647
Mailing Address - Country:US
Mailing Address - Phone:804-321-1400
Mailing Address - Fax:804-329-8461
Practice Address - Street 1:2809 NORTH AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23222-3647
Practice Address - Country:US
Practice Address - Phone:804-321-1400
Practice Address - Fax:804-329-8461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049033207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F79333OtherUPIN
VA0101049033OtherSTATE ID
VA5640504Medicaid
49D1042521OtherCLIA
49D1042521OtherCLIA
BB3886542OtherDEA