Provider Demographics
NPI:1730230988
Name:BELL, DAVID SAMUEL HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SAMUEL HENRY
Last Name:BELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 CRESTWOOD BLVD
Mailing Address - Street 2:STE 201
Mailing Address - City:IRONDALE
Mailing Address - State:AL
Mailing Address - Zip Code:35210-2051
Mailing Address - Country:US
Mailing Address - Phone:205-957-0034
Mailing Address - Fax:205-957-0036
Practice Address - Street 1:1900 CRESTWOOD BLVD
Practice Address - Street 2:STE 201
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-2051
Practice Address - Country:US
Practice Address - Phone:205-957-0034
Practice Address - Fax:205-957-0036
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9301207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00472194OtherRAILROAD PTAN
P00472194OtherRAILROAD PTAN
ALC78820Medicare UPIN
AL051006279Medicare ID - Type Unspecified