Provider Demographics
NPI:1659320711
Name:BELL, TODD ALLEN (DPM)
Entity type:Individual
Prefix:DR
First Name:TODD
Middle Name:ALLEN
Last Name:BELL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 JOLLEY DR
Mailing Address - Street 2:UNIT A
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-3062
Mailing Address - Country:US
Mailing Address - Phone:860-286-9161
Mailing Address - Fax:860-242-1388
Practice Address - Street 1:57 JOLLEY DR
Practice Address - Street 2:UNIT A
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3062
Practice Address - Country:US
Practice Address - Phone:860-286-9161
Practice Address - Fax:860-242-1388
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0472213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP00035323Medicare PIN
CT480000971Medicare PIN
CTT22923Medicare UPIN
CT480000971Medicare PIN