Provider Demographics
NPI:1205899176
Name:BELL, STEPHEN M (MD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:M
Last Name:BELL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2401 W BELVEDERE AVE
Mailing Address - Street 2:DEPT OF CREDENTIALING
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-5216
Mailing Address - Country:US
Mailing Address - Phone:410-601-5524
Mailing Address - Fax:410-601-8946
Practice Address - Street 1:2411 W. BELVEDERE AVENUE, SUITE 104
Practice Address - Street 2:MORTON MOWER, M.D. OFF. BLDG.
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-5228
Practice Address - Country:US
Practice Address - Phone:410-601-8691
Practice Address - Fax:410-601-8996
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2007-11-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0050755207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDCC4344OtherR/R MEDICARE GROUP #
MDCC4344OtherR/R MEDICARE GROUP #
MDK858700RMedicare PIN