Healthcare Provider Details

I. General information

NPI: 1033595277
Provider Name (Legal Business Name): MEREDITH ELYSE BELL PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2015
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 MEDICAL CENTER PT STE 240
COLORADO SPRINGS CO
80907-8721
US

IV. Provider business mailing address

1625 MEDICAL CENTER PT STE 200
COLORADO SPRINGS CO
80907-5748
US

V. Phone/Fax

Practice location:
  • Phone: 719-960-0363
  • Fax: 719-413-5966
Mailing address:
  • Phone: 719-960-0363
  • Fax: 719-413-5966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA.0009751
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: