Provider Demographics
NPI:1982676649
Name:BELL, PHILLIP H II (MD)
Entity Type:Individual
Prefix:
First Name:PHILLIP
Middle Name:H
Last Name:BELL
Suffix:II
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 1:95 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77340-2640
Mailing Address - Country:US
Mailing Address - Phone:956-451-1950
Mailing Address - Fax:956-594-4224
Practice Address - Street 1:95 MAIN ST
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77340-2640
Practice Address - Country:US
Practice Address - Phone:956-451-1950
Practice Address - Fax:956-594-4224
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH7385207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX132014510Medicaid
930117870OtherRAILROAD MEDICARE
8U5310OtherBLUE CROSS BLUE SHIELD
8F0655Medicare ID - Type Unspecified
TX8F0655Medicare PIN
930117870OtherRAILROAD MEDICARE
TX8J4005Medicare PIN
TX8F0655Medicare Oscar/Certification