Healthcare Provider Details

I. General information

NPI: 1598084741
Provider Name (Legal Business Name): TREVOR J BELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 12/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 PLAINFIELD STREET
SPRINGFIELD MA
01107-1524
US

IV. Provider business mailing address

280 CHESTNUT ST 2ND FLOOR
SPRINGFIELD MA
01199-1001
US

V. Phone/Fax

Practice location:
  • Phone: 413-794-4458
  • Fax: 413-794-5131
Mailing address:
  • Phone: 413-794-5700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number256747
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: