Provider Demographics
NPI:1164516100
Name:BELL, NORMAN D (MD)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:D
Last Name:BELL
Suffix:
Gender:M
Credentials:MD
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 242752
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-2752
Mailing Address - Country:US
Mailing Address - Phone:334-272-5962
Mailing Address - Fax:
Practice Address - Street 1:215 PERRY HILL ROAD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109
Practice Address - Country:US
Practice Address - Phone:334-272-4670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00020034207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000098974BELMedicaid
AL51098974BELOtherBCBS BAPTISTEAST
AL51098975BELOtherBCBS PRATTVILLEBAPTIST
AL000098974BELMedicare ID - Type Unspecified
AL51098975BELOtherBCBS PRATTVILLEBAPTIST