Provider Demographics
NPI:1245286061
Name:BELL, TODD AARON (DO)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:AARON
Last Name:BELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 950112
Mailing Address - Street 2:DEPT 52387
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40295-0112
Mailing Address - Country:US
Mailing Address - Phone:866-965-3774
Mailing Address - Fax:781-276-6411
Practice Address - Street 1:913 N DIXIE AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-2503
Practice Address - Country:US
Practice Address - Phone:877-783-6257
Practice Address - Fax:859-514-5521
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2016-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY03418207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000317853OtherBCBS
000000317853OtherBCBS
OHP00087051OtherMEDICARE RR
OH2167917Medicaid
KY7100179320Medicaid
H07310Medicare UPIN
OH2167917Medicaid
BE4061093Medicare PIN