Healthcare Provider Details

I. General information

NPI: 1396008280
Provider Name (Legal Business Name): ROBERT CODEY BELL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2012
Last Update Date: 08/28/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3560 DELAWARE ST STE 1202
BEAUMONT TX
77706
US

IV. Provider business mailing address

PO BOX 7446
BEAUMONT TX
77726-7446
US

V. Phone/Fax

Practice location:
  • Phone: 409-363-5711
  • Fax: 409-363-5712
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberQ4366
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: