Individual
DR. CODY BLAKE BELLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401-8368
(812) 333-2663
(812) 676-4131
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
01099257A
IN
207X00000X
Orthopaedic Surgery Physician
2013027435
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
01099257A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013027435
MO LICENSE
MO
Enumeration date
06/13/2007
Last updated
04/02/2026
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