Healthcare Provider Details

I. General information

NPI: 1407916406
Provider Name (Legal Business Name): JOHN R BELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 11/01/2023
Certification Date: 10/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PATCH ARMY HEALTH CLINIC STUTTGART UNIT 30401
APO AE
09107-0401
US

IV. Provider business mailing address

GEISINGER MEDICAL CTR 123 N ACADEMY AVENUE
DANVILLE PA
17822-0001
US

V. Phone/Fax

Practice location:
  • Phone: 314-590-1615
  • Fax:
Mailing address:
  • Phone: 570-271-6516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number434635
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberMD 434635
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: