1841268620 NPI number — BILL G BELL MD INC

Table of content: (NPI 1841268620)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841268620 NPI number — BILL G BELL MD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BILL G BELL MD INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
BELL EYE CARE INSTITUTE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841268620
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/15/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 232577
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ENCINITAS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92023-2577
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-931-0099
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7040 AVE ENCINAS
Provider Second Line Business Practice Location Address:
#110
Provider Business Practice Location Address City Name:
CARLSBAD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92011-4654
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-931-0099
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/09/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BELL
Authorized Official First Name:
BILL
Authorized Official Middle Name:
GENE
Authorized Official Title or Position:
OWNER PRES TREAS
Authorized Official Telephone Number:
760-931-0099

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00G258200 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 180000695 . This is a "RAILROAD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 180026562 . This is a "RAILROAD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 00G258201 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".