Provider Demographics
NPI:1467543207
Name:BELL, BRIAN W (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:W
Last Name:BELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 570
Mailing Address - Street 2:
Mailing Address - City:PUEBLO
Mailing Address - State:CO
Mailing Address - Zip Code:81002-0570
Mailing Address - Country:US
Mailing Address - Phone:719-296-5841
Mailing Address - Fax:719-542-0746
Practice Address - Street 1:916 INDIANA AVE
Practice Address - Street 2:STE 120
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81004-3572
Practice Address - Country:US
Practice Address - Phone:719-296-5841
Practice Address - Fax:719-542-0746
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO32468207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO32468OtherCOLO STATE LICENSE
PH18408OtherBCBS
OH35062805BOtherOHIO STATE LICENSE
CH6461OtherRR MEDICARE - GROUP
050025414OtherRR MEDICARE
CO01324680Medicaid
CO01324680Medicaid
PH18408OtherBCBS
050025414OtherRR MEDICARE