MEDICARE: DR. BURT LAWRENCE BELL D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N002592	NY
2	213EP1101X	Primary Podiatric Medicine Podiatrist	N002592	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	06441	OTHER	NY	GHI-MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	127732	OTHER	NY	UNITED HEALTHCARE
2	3C5148	OTHER	NY	HEALTHNET
3	N002592-A18	OTHER	NY	HEALTHFIRST
4	N002592-B18	OTHER	NY	HEALTHFIRST
5	N002592	OTHER	NY	HIP
7	7020206	OTHER	NY	CIGNA
8	P245678	OTHER	NY	OXFORD
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053415778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BURT LAWRENCE BELL D.P.M.

Provider Business Mailing Address
First Line	:	3065 BRIGHTON 5TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6407
Country	:	US
Telephone Number	:	718-332-2722
Fax Number	:	718-332-2722

Provider Business Practice Location Address
First Line	:	3065 BRIGHTON 5TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-6407
Country	:	US
Telephone Number	:	718-332-2722
Fax Number	:	718-332-2722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	01/16/2008

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Directions to “ DR. BURT LAWRENCE BELL D.P.M.” Practice Location

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