Provider Demographics
NPI:1528044609
Name:BELL, WILLIAM LYNN (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:LYNN
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 751069
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1069
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2280 HEMBY LN
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-3773
Practice Address - Country:US
Practice Address - Phone:252-744-9400
Practice Address - Fax:252-744-9401
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH351279272084N0400X, 2084N0600X, 2084S0012X, 2084S0012X
NC228872084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0161898Medicaid
E04477Medicare UPIN
OH0161898Medicaid
NC2178000BMedicare PIN
DC183047YT2Medicare PIN
NC7914667Medicaid
NC2178000BMedicare PIN
8542OtherPARTNERS
14667OtherBCBS
DC183047YT2Medicare PIN
VA6101160Medicaid
WV2006818000Medicaid