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NPI Code Detail

MEDICARE: RICHARD ADAM BELL DPT

MEDICARE: RICHARD ADAM BELL DPT
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
1225100000XPhysical TherapistPT3615MS

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2302I652336OTHERMSMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720235054
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD ADAM BELL DPT
Provider Business Mailing Address
First Line : 3825 HIGHWAY 80 E
Second Line :
City : PEARL
State : MS
Zip : 39208-4232
Country : US
Telephone Number : 601-939-3030
Fax Number : 601-939-3042
Provider Business Practice Location Address
First Line : 3825 HIGHWAY 80 E
Second Line :
City : PEARL
State : MS
Zip : 39208-4232
Country : US
Telephone Number : 769-777-4400
Fax Number : 769-777-4401
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2008
Last Update Date : 09/11/2020

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Directions to “ RICHARD ADAM BELL DPT” Practice Location

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