MEDICARE: DR. MICHAEL E BELL M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	M3033	ID
2	2085R0204X	Vascular & Interventional Radiology Physician	M3033	ID

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	P00165376	OTHER		RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000010001639	OTHER	ID	REGENCE BS OF IDAHO
2	0192982	OTHER	WA	LABOR & INDUSTRIES
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	72884	OTHER	ID	BLUE CROSS OF IDAHO

NPI Number	:	1609071760
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL E BELL M.D.

Provider Business Mailing Address
First Line	:	531 4TH AVE
Second Line	:
City	:	LEWISTON
State	:	ID
Zip	:	83501-2450
Country	:	US
Telephone Number	:	208-743-4393
Fax Number	:	208-743-4214

Provider Business Practice Location Address
First Line	:	415 6TH ST
Second Line	:
City	:	LEWISTON
State	:	ID
Zip	:	83501-2431
Country	:	US
Telephone Number	:	208-799-5335
Fax Number	:

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

Provider Enumeration Date	:	06/19/2007
Last Update Date	:	04/19/2026

415 6TH ST STE 3C
LEWISTON, ID
83501-2431

Practice Phone: 208-750-3840
Practice Fax: 208-750-3839