Healthcare Provider Details
I. General information
NPI: 1376577312
Provider Name (Legal Business Name): DAVID M. BELL, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/10/2006
Last Update Date: 04/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5000 PLEASANTON AVE SUITE 200
PLEASANTON CA
94566-7052
US
IV. Provider business mailing address
5000 PLEASANTON AVE SUITE 200
PLEASANTON CA
94566-7052
US
V. Phone/Fax
- Phone: 925-600-7020
- Fax: 925-600-7010
- Phone: 925-600-7020
- Fax: 925-600-7010
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XX0005X |
| Taxonomy | Sports Medicine (Orthopaedic Surgery) Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DAVID
M
BELL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 925-600-7020