Healthcare Provider Details

I. General information

NPI: 1508561739
Provider Name (Legal Business Name): THOMAS PATRICK BELL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2195 HARRODSBURG RD
LEXINGTON KY
40504-3516
US

IV. Provider business mailing address

740 S LIMESTONE
LEXINGTON KY
40536-0001
US

V. Phone/Fax

Practice location:
  • Phone: 859-218-3131
  • Fax: 859-257-0168
Mailing address:
  • Phone: 859-257-8562
  • Fax: 859-257-9813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number61682
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: