Provider Demographics
NPI:1639468168
Name:BELL, BRIAN ELTON (RN)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:ELTON
Last Name:BELL
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 W KYLE DR
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-6317
Mailing Address - Country:US
Mailing Address - Phone:719-547-4451
Mailing Address - Fax:
Practice Address - Street 1:210 W KYLE DR
Practice Address - Street 2:
Practice Address - City:PUEBLO WEST
Practice Address - State:CO
Practice Address - Zip Code:81007-6317
Practice Address - Country:US
Practice Address - Phone:719-547-4451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO105625163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0800XNursing Service ProvidersRegistered NurseOrthopedic