Provider Demographics
NPI:1477789329
Name:J. D. BELL, M.D., P.A.
Entity type:Organization
Organization Name:J. D. BELL, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:817-268-0830
Mailing Address - Street 1:PO BOX 210608
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76095-7608
Mailing Address - Country:US
Mailing Address - Phone:817-268-0830
Mailing Address - Fax:817-268-6247
Practice Address - Street 1:1809 FOREST RIDGE DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-7961
Practice Address - Country:US
Practice Address - Phone:817-268-0830
Practice Address - Fax:817-268-6247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-05
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD5913207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1148942-02Medicaid
TX00GJ79Medicare PIN
TXC13339Medicare UPIN