Healthcare Provider Details

I. General information

NPI: 1619916293
Provider Name (Legal Business Name): DAVID MATTHEW BELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 12/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5924 STONERIDGE DR SUITE 202
PLEASANTON CA
94588-2887
US

IV. Provider business mailing address

5924 STONERIDGE DR 202
PLEASANTON CA
94588-5400
US

V. Phone/Fax

Practice location:
  • Phone: 925-600-7020
  • Fax: 925-600-7010
Mailing address:
  • Phone: 925-600-7020
  • Fax: 925-600-7010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA51438
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: