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BELLEVILLE ORTHOPEDICS, P.C.
NPI 1275618480
Specialist in Belleville, IL

Active since October 26, 2006
4550 MEMORIAL DR, SUITE 460, BELLEVILLE, IL 62226(618) 235-2900(618) 235-2902 Get Directions Write a Review

NPPES record last updated: January 15, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Belleville Orthopedics, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BELLEVILLE ORTHOPEDICS, P.C. (NPI 1275618480) is a healthcare organization registered as a specialist in Belleville, Illinois and active in the NPI registry since October 2006. The organization lists Harvey L Mirly, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1275618480
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBELLEVILLE ORTHOPEDICS, P.C.
Location Address4550 MEMORIAL DR, SUITE 460Belleville, IL 62226-5359
Mailing Address4550 Memorial Dr, Suite 460Belleville, IL 62226-5359 · (618) 235-2900 · Fax (618) 235-2902
Phone(618) 235-2900
Fax(618) 235-2902
Organization SubpartNo
Authorized OfficialHarvey L MirlyOwner/president · (618) 235-2900
Enumeration DateOctober 26, 2006
Last NPPES UpdateJanuary 15, 2009
✔ NPI 1275618480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036085921
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4550 MEMORIAL DR, Belleville, IL 62226
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Other Identifiers 2

Medicare NSC5302320001IL
Medicare ID-Type Unspecified210163IL · Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DEANNA L. RODENBERG NP
Nurse Practitioner
4550 MEMORIAL DR, STE. 340
BELLEVILLE, IL 62226
St. Clair County (618) 257-6200
SHEIKH M SADIQ MD
Psychiatry & Neurology (Neurology)
4550 MEMORIAL DR, SUITE 340
BELLEVILLE, IL 62226
St. Clair County (618) 257-4243
DR. DWIGHT WILLIAM O'DELL M.D.
Obstetrics & Gynecology (Gynecology)
4550 MEMORIAL DR, STE 200
BELLEVILLE, IL 62226
St. Clair County (618) 233-5998
MEMORIAL MEDICAL GROUP, LLC
Internal Medicine
4550 MEMORIAL DR, STE. 340
BELLEVILLE, IL 62226
St. Clair County (618) 257-6302
MSA ALLIANCE, LLC
Urology
4550 MEMORIAL DR, STE 350
BELLEVILLE, IL 62226
St. Clair County (618) 239-9690
LAKSHMI R. BEERAVOLU MD
Psychiatry & Neurology (Clinical Neurophysiology)
4550 MEMORIAL DR, STE. A480
BELLEVILLE, IL 62226
St. Clair County (618) 234-4531
CA GROUP, LLC
Internal Medicine (Cardiovascular Disease)
4550 MEMORIAL DR, STE 310
BELLEVILLE, IL 62226
St. Clair County (618) 257-6112
PC ASSOCIATES, LLC
Family Medicine
4550 MEMORIAL DR, STE 180
BELLEVILLE, IL 62226
St. Clair County (618) 235-8282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Belleville Orthopedics, P.C.'s NPI number?

The NPI number for Belleville Orthopedics, P.C. is 1275618480. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Belleville Orthopedics, P.C. located?

Belleville Orthopedics, P.C. is located at 4550 Memorial Dr Suite 460, Belleville, IL 62226. The listed phone number is (618) 235-2900.

What is Belleville Orthopedics, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Belleville Orthopedics, P.C. was last updated on January 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.