MEDICARE: DR. MICHAEL JOHN 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	207R00000X	Internal Medicine Physician	MD2005-0372	NM

General Provider Information

NPI Number	:	1851397723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JOHN BELL M.D.

Provider Business Mailing Address
First Line	:	4371 E LOHMAN AVE
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-8255
Country	:	US
Telephone Number	:	575-556-3241
Fax Number	:	575-526-6303

Provider Business Practice Location Address
First Line	:	4371 E LOHMAN AVE FL 2
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-8255
Country	:	US
Telephone Number	:	575-521-4808
Fax Number	:	575-526-6303

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

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	09/08/2020

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