Provider Demographics
NPI:1740360676
Name:VANBELOIS, BERNADETTE (MD)
Entity type:Individual
Prefix:DR
First Name:BERNADETTE
Middle Name:
Last Name:VANBELOIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 COMMONS WAY
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-1910
Mailing Address - Country:US
Mailing Address - Phone:406-752-2010
Mailing Address - Fax:406-752-2047
Practice Address - Street 1:150 COMMONS WAY
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-1910
Practice Address - Country:US
Practice Address - Phone:406-752-2010
Practice Address - Fax:406-752-2047
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT8152207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT13151OtherBCBS
F15038Medicare UPIN