Basic Information
Provider Information
NPI: 1457321762
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BELL
FirstName: DAVID
MiddleName: N
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 800 W 9TH ST
Address2:  
City: JASPER
State: IN
PostalCode: 475462514
CountryCode: US
TelephoneNumber: 8129962345
FaxNumber: 8129968497
Practice Location
Address1: 800 W 9TH ST
Address2:  
City: JASPER
State: IN
PostalCode: 475462514
CountryCode: US
TelephoneNumber: 8129962345
FaxNumber: 8129968497
Other Information
ProviderEnumerationDate: 01/26/2006
LastUpdateDate: 05/09/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X01067238AINN Allopathic & Osteopathic PhysiciansHospitalist 
207Q00000X01067238AINY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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