Provider Demographics
NPI:1548358716
Name:BELL, DAVID C (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:C
Last Name:BELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 W LANE AVE
Mailing Address - Street 2:STE D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3544
Mailing Address - Country:US
Mailing Address - Phone:614-457-4827
Mailing Address - Fax:614-326-0250
Practice Address - Street 1:1315 W LANE AVE
Practice Address - Street 2:STE D
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3544
Practice Address - Country:US
Practice Address - Phone:614-457-4827
Practice Address - Fax:614-326-0250
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35050646207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH201308320031OtherCARESOURCE
OH0615123Medicaid
OH4166861OtherMEDICARE PTAN
OH000000376722OtherANTHEM
OHBE0578955Medicare ID - Type Unspecified