Healthcare Provider Details

I. General information

NPI: 1659320711
Provider Name (Legal Business Name): TODD ALLEN BELL DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 02/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 JOLLEY DR UNIT A
BLOOMFIELD CT
06002-3062
US

IV. Provider business mailing address

57 JOLLEY DR UNIT A
BLOOMFIELD CT
06002-3062
US

V. Phone/Fax

Practice location:
  • Phone: 860-286-9161
  • Fax: 860-242-1388
Mailing address:
  • Phone: 860-286-9161
  • Fax: 860-242-1388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number0472
License Number StateCT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: