Provider Demographics
NPI:1407820459
Name:BELL, SCOTT I (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:I
Last Name:BELL
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6211 CENTREVILLE RD
Mailing Address - Street 2:SUITE 700
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-2641
Mailing Address - Country:US
Mailing Address - Phone:703-222-0002
Mailing Address - Fax:703-449-9890
Practice Address - Street 1:6211 CENTREVILLE RD
Practice Address - Street 2:SUITE 700
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2641
Practice Address - Country:US
Practice Address - Phone:703-222-0002
Practice Address - Fax:703-449-9890
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101102613207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H55765Medicare UPIN
G01992I02Medicare ID - Type Unspecified