MEDICARE: DR. BRIAN WAYNE BELL M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	18850	SC
2	207Q00000X	Family Medicine Physician	9701245	NC
3	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician	9701245	NC

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00362116	OTHER	NC	MEDICARE RAILROAD PROVIDE
5	P01077510	OTHER	SC	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	1345U	OTHER	NC	BCBS PROVIDER NUMBER

NPI Number	:	1518961275
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN WAYNE BELL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 601884
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-1884
Country	:	US
Telephone Number	:	828-245-3158
Fax Number	:	828-247-6484

Provider Business Practice Location Address
First Line	:	249 OAK ST
Second Line	:
City	:	FOREST CITY
State	:	NC
Zip	:	28043-3585
Country	:	US
Telephone Number	:	828-245-3158
Fax Number	:	828-247-6484

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	05/28/2015

247 OAK ST EXTENSION , SUITE 145
FOREST CITY, NC
28043-3585

Practice Phone: 828-245-5003
Practice Fax: 828-245-5798