Provider Demographics
NPI:1902067408
Name:BELCHER, DAVID C (DO)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:BELCHER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5825
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79608-5825
Mailing Address - Country:US
Mailing Address - Phone:325-400-8586
Mailing Address - Fax:325-603-0507
Practice Address - Street 1:429 N JUDGE ELY BLVD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79601-5553
Practice Address - Country:US
Practice Address - Phone:325-400-8586
Practice Address - Fax:325-603-0507
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR6973207Q00000X, 2084B0040X, 2084F0202X, 2084P0800X, 2084B0040X, 2084F0202X
IN02003613A208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice