Provider Demographics
NPI:1275608051
Name:BELL, GEORGE CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:CHRISTOPHER
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 1:2028 E AVONDALE LN
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835-7526
Mailing Address - Country:US
Mailing Address - Phone:208-660-5606
Mailing Address - Fax:
Practice Address - Street 1:110 E WALLACE AVE
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2948
Practice Address - Country:US
Practice Address - Phone:208-966-4512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDM-6959207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID1275608051Medicaid
NC5906302Medicaid
NC5906302Medicaid
NC2064839Medicare PIN