MEDICARE: JASON SCOTT BELL M.D.

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	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	A73647	CA
2	207X00000X	Orthopaedic Surgery Physician	A73647	CA
3	207X00000X	Orthopaedic Surgery Physician	MD28080	OR

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

General Provider Information

NPI Number	:	1336136647
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON SCOTT BELL M.D.

Provider Business Mailing Address
First Line	:	1900 WOODLAND DR
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2099
Country	:	US
Telephone Number	:	541-267-5151
Fax Number	:

Provider Business Practice Location Address
First Line	:	2699 N 17TH ST
Second Line	:
City	:	COOS BAY
State	:	OR
Zip	:	97420-2111
Country	:	US
Telephone Number	:	541-266-3635
Fax Number	:

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

Provider Enumeration Date	:	10/03/2005
Last Update Date	:	03/18/2026

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