Provider Demographics
NPI:1275538977
Name:BELL, DARL VILBRO (MD)
Entity Type:Individual
Prefix:MR
First Name:DARL
Middle Name:VILBRO
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 1:81 ATOKA MCLAUGHLIN DRIVE
Mailing Address - Street 2:STE 1
Mailing Address - City:ATOKA
Mailing Address - State:TN
Mailing Address - Zip Code:38004
Mailing Address - Country:US
Mailing Address - Phone:901-837-9910
Mailing Address - Fax:901-837-9914
Practice Address - Street 1:81 ATOKA MCLAUGHLIN DRIVE
Practice Address - Street 2:STE 1
Practice Address - City:ATOKA
Practice Address - State:TN
Practice Address - Zip Code:38004
Practice Address - Country:US
Practice Address - Phone:901-837-9910
Practice Address - Fax:901-837-9914
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN27071207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3717404Medicaid
TN621694151OtherTAX ID #
TN3098749Medicare PIN
TNG23545Medicare UPIN