Healthcare Provider Details

I. General information

NPI: 1679518047
Provider Name (Legal Business Name): TODD A BELL DPM,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 05/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 JOLLEY DR SUITE A
BLOOMFIELD CT
06002-3062
US

IV. Provider business mailing address

57 JOLLEY DR SUITE 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 Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number0472
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number0472
License Number StateCT

VIII. Authorized Official

Name: DR. TODD ALLEN BELL
Title or Position: DIRECTOR
Credential: DPM
Phone: 860-286-9161