MEDICARE: DR. STEPHEN R BELL D.O.

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	207R00000X	Internal Medicine Physician	5101015256	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	9456469	OTHER	MI	PHCS
3	I63448	OTHER	MI	HAP
4	1155810604	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1184704181
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN R BELL D.O.

Provider Business Mailing Address
First Line	:	7825 N DIXIE HIGHWAY
Second Line	:
City	:	NEWPORT
State	:	MI
Zip	:	48166-9776
Country	:	US
Telephone Number	:	734-586-0888
Fax Number	:	734-586-0889

Provider Business Practice Location Address
First Line	:	7825 NORTH DIXIE HIGHWAY
Second Line	:
City	:	NEWPORT
State	:	MI
Zip	:	48166-9776
Country	:	US
Telephone Number	:	734-586-0888
Fax Number	:	734-586-0889

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

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	01/25/2010

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