MEDICARE: RANDALL C. BELL M.D.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	G0352	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8L3550	OTHER	TX	INDIVIDUAL MEDICARE PTAN
6	P00650984	OTHER	TX	RAILROAD MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780681403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANDALL C. BELL M.D.

Provider Business Mailing Address
First Line	:	4458 MEDICAL DR
Second Line	:	STE 505
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-3748
Country	:	US
Telephone Number	:	210-690-7400
Fax Number	:

Provider Business Practice Location Address
First Line	:	21 SPURS LN
Second Line	:	STE 230B
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-1669
Country	:	US
Telephone Number	:	210-690-7400
Fax Number	:	210-690-7405

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	06/27/2019

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Directions to “ RANDALL C. BELL M.D.” Practice Location

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