Basic Information
| Provider Information | |||||||||
| NPI: | 1922041953 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BELL | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | SUMNER | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | III | ||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | BELL | ||||||||
| OtherFirstName: | J. | ||||||||
| OtherMiddleName: | SUMNER | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | III | ||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 1101 FIRST COLONIAL RD | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | VIRGINIA BEACH | ||||||||
| State: | VA | ||||||||
| PostalCode: | 234542409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7574814817 | ||||||||
| FaxNumber: | 7574817138 | ||||||||
| Practice Location | |||||||||
| Address1: | 1101 FIRST COLONIAL RD | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | VIRGINIA BEACH | ||||||||
| State: | VA | ||||||||
| PostalCode: | 234542409 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7574814817 | ||||||||
| FaxNumber: | 7574817138 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2006 | ||||||||
| LastUpdateDate: | 02/18/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 0101034257 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 1659563799 | 01 | VA | GROUP NPI | OTHER | 192057 | 01 | VA | ANTHEM | OTHER | 5807760 | 05 | VA | MEDICAID | 10005766 | 01 | VA | OPTIMA | OTHER |