Provider Demographics
NPI:1356524615
Name:BELL MEDICAL CENTER PC
Entity type:Organization
Organization Name:BELL MEDICAL CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:OLATUNJI
Authorized Official - Last Name:JUNARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-732-0228
Mailing Address - Street 1:PO BOX 110284
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37222-0284
Mailing Address - Country:US
Mailing Address - Phone:615-732-0228
Mailing Address - Fax:615-732-0231
Practice Address - Street 1:393 WALLACE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-4880
Practice Address - Country:US
Practice Address - Phone:615-732-0228
Practice Address - Fax:615-732-0231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2009-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31801207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
3863238OtherCIGNA
TN3863238Medicaid
3894234OtherCIGNA COMMERCIAL
35033OtherHEALTHSPRING
4048057OtherBCBS
7740358OtherAETNA
H35033Medicare UPIN
3894234OtherCIGNA COMMERCIAL