Provider Demographics
NPI:1114034675
Name:BELL, MICHAEL B (PA-C)
Entity Type:Individual
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First Name:MICHAEL
Middle Name:B
Last Name:BELL
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:317 SEVEN SPRINGS WAY
Mailing Address - Street 2:STE 101
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4576
Mailing Address - Country:US
Mailing Address - Phone:615-370-9992
Mailing Address - Fax:615-370-9665
Practice Address - Street 1:317 SEVEN SPRINGS WAY
Practice Address - Street 2:STE 101
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4576
Practice Address - Country:US
Practice Address - Phone:615-370-9992
Practice Address - Fax:615-370-9665
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2017-05-10
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Provider Licenses
StateLicense IDTaxonomies
TNPA843363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical