Provider Demographics
NPI:1538118963
Name:TODD A BELL DPM LLC
Entity Type:Organization
Organization Name:TODD A BELL DPM LLC
Other - Org Name:CONNECTICUT PODIATRY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:860-286-9161
Mailing Address - Street 1:57 JOLLEY DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-3062
Mailing Address - Country:US
Mailing Address - Phone:860-286-9161
Mailing Address - Fax:860-242-1388
Practice Address - Street 1:57 JOLLEY DR
Practice Address - Street 2:SUITE A
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3062
Practice Address - Country:US
Practice Address - Phone:860-286-9161
Practice Address - Fax:860-242-1388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0472213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008056259Medicaid
CT3857930001Medicare NSC
CTDO6186Medicare PIN
T22923Medicare UPIN
CT008056259Medicaid