Healthcare Provider Details

I. General information

NPI: 1053306506
Provider Name (Legal Business Name): DR. MICHAEL J. BELL
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/12/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHARLOTTE RADIOLOGY 3030 LATROBE DRIVE
CHARLOTTE NC
28211
US

IV. Provider business mailing address

CHARLOTTE RADIOLOGY 3030 LATROBE DRIVE
CHARLOTTE NC
28211
US

V. Phone/Fax

Practice location:
  • Phone: 704-362-1945
  • Fax: 704-362-7081
Mailing address:
  • Phone: 704-362-1945
  • Fax: 704-362-7081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number17238
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number17238
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: