Provider Demographics
NPI:1841268620
Name:BILL G BELL MD INC
Entity type:Organization
Organization Name:BILL G BELL MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER PRES TREAS
Authorized Official - Prefix:DR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-931-0099
Mailing Address - Street 1:PO BOX 232577
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92023-2577
Mailing Address - Country:US
Mailing Address - Phone:760-931-0099
Mailing Address - Fax:
Practice Address - Street 1:7040 AVE ENCINAS
Practice Address - Street 2:#110
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-4654
Practice Address - Country:US
Practice Address - Phone:760-931-0099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G258200Medicaid
CA180000695OtherRAILROAD
CA180026562OtherRAILROAD
CA00G258201Medicaid
CA00G258201Medicaid
A42806Medicare UPIN
CAG25820Medicare ID - Type Unspecified