Healthcare Provider Details

I. General information

NPI: 1972576387
Provider Name (Legal Business Name): RANDY SCOTT BELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 06/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

9925 MARKHAM ST
SILVER SPRING MD
20901-2234
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4420
  • Fax:
Mailing address:
  • Phone: 301-295-4420
  • Fax: 310-295-4428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number0101235994
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number0101235994
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: