Provider Demographics
NPI:1851577985
Name:BURT L. BELL
Entity Type:Organization
Organization Name:BURT L. BELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BURT
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:1718-332-2722
Mailing Address - Street 1:3065 BRIGHTON 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6407
Mailing Address - Country:US
Mailing Address - Phone:718-332-2722
Mailing Address - Fax:718-332-2722
Practice Address - Street 1:3065 BRIGHTON 5TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6407
Practice Address - Country:US
Practice Address - Phone:718-332-2722
Practice Address - Fax:718-332-2722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-18
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN002592261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP29902Medicare PIN
NYT50837Medicare UPIN
NY4937180001Medicare NSC