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CHARLES G BELLVILLE SOLE MBR
NPI 1487931382
Clinic/Center - Adult Mental Health in Portland, OR

Active since November 08, 2011
909 SW SAINT CLAIR AVE, PORTLAND, OR 97205(503) 274-2661(503) 692-0688 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charles G Bellville Sole Mbr NPPES

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

CHARLES G BELLVILLE SOLE MBR (NPI 1487931382) is a healthcare organization registered as an adult mental health in Portland, Oregon and active in the NPI registry since November 2011. The organization lists Charles George Bellville, 0wner, as its authorized official.

NPPES Registry Identity

NPI1487931382
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameDR. CHARLES G. BELLVILLE, MD, LLC
Location Address909 SW SAINT CLAIR AVEPortland, OR 97205-1300
Mailing Address909 Sw Saint Clair AvePortland, OR 97205-1300 · (503) 274-2661 · Fax (503) 692-0688
Phone(503) 274-2661
Fax(503) 692-0688
Organization SubpartNo
Authorized OfficialCharles George Bellville0wner · (503) 274-2661
Enumeration DateNovember 8, 2011
Last NPPES UpdateAugust 16, 2013
✔ NPI 1487931382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in OR · 11983
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
909 SW SAINT CLAIR AVE, Portland, OR 97205
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Other Names 1

Doing Business AsCharles G Bellville Sole Mbr

Other Identifiers 1

Medicare UPINR0000BHQXHOR

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles G Bellville Sole Mbr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Charles G Bellville Sole Mbr, which bills Medicare for the services this clinician delivers.

Clinician (1)

Charles Bellville, MD
Psychiatry
NPI 1598734618
909 SW SAINT CLAIR AVE
Portland, OR 97205
(503) 274-2661
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dr. Charles G. Bellville, MD, LLC's NPI number?

The NPI number for Dr. Charles G. Bellville, MD, LLC is 1487931382. It was assigned to this organization in the NPPES registry on November 8, 2011. The provider is doing business as Charles G Bellville Sole Mbr.

Where is Dr. Charles G. Bellville, MD, LLC located?

Dr. Charles G. Bellville, MD, LLC is located at 909 SW Saint Clair Ave, Portland, OR 97205. The listed phone number is (503) 274-2661.

What is Dr. Charles G. Bellville, MD, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Dr. Charles G. Bellville, MD, LLC enrolled in Medicare?

Yes. Dr. Charles G. Bellville, MD, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Charles G. Bellville, MD, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Dr. Charles G. Bellville, MD, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dr. Charles G. Bellville, MD, LLC was last updated on August 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.