Provider Demographics
NPI:1528044310
Name:BELL, JAMES RUSSELL (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:RUSSELL
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 1:1100 35TH ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-1710
Mailing Address - Country:US
Mailing Address - Phone:319-377-4844
Mailing Address - Fax:319-377-0852
Practice Address - Street 1:1100 35TH ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-1710
Practice Address - Country:US
Practice Address - Phone:319-377-4844
Practice Address - Fax:319-377-0852
Is Sole Proprietor?:No
Enumeration Date:2005-12-22
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24258207QA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0000XAllopathic & Osteopathic PhysiciansFamily MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA9041384Medicaid
IA80086945OtherRR MEDICARE
IA3041384Medicaid
IA3041384Medicaid
IA15566Medicare PIN