Provider Demographics
NPI:1336118553
Name:BELL, JEFFREY WALTON (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:WALTON
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 748613
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-8613
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:428 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20186-3026
Practice Address - Country:US
Practice Address - Phone:540-349-0100
Practice Address - Fax:540-349-4401
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049349207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2265905OtherAETNA HMO
417859OtherALLIANCE PPO
286929OtherAMERIGROUP
MD37820001OtherCARE FIRST
344856OtherNATIONAL CAPITAL PPO
417859OtherMDIPA OPTIMUM CHOICE
VA6211551OtherPREMIER
6497701OtherCIGNA HEALTH PLANS
417859OtherMAMSI HEALTH PLANS
48004OtherCOMMUNITY HEALTH CARE
0005211084OtherAETNA PPO
VA006211551Medicaid
VA204532OtherANTHEM BLUE SHIELD
DC37820001OtherCARE FIRST
417859OtherALLIANCE PPO
VA160001548Medicare ID - Type Unspecified