Provider Demographics
NPI:1811936099
Name:BELL, TIMOTHY EDWARD (DO)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:EDWARD
Last Name:BELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 N KENTUCKY ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:37763-2678
Mailing Address - Country:US
Mailing Address - Phone:865-647-3280
Mailing Address - Fax:865-647-3289
Practice Address - Street 1:814 N KENTUCKY ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:TN
Practice Address - Zip Code:37763-2678
Practice Address - Country:US
Practice Address - Phone:865-647-3280
Practice Address - Fax:865-647-3289
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDO1764207Q00000X
TNDO1765207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNH58317Medicare UPIN
TN3811069Medicare PIN
FLH58317Medicare UPIN
TN3734289Medicare PIN