Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 18850 | SC |
Y | 207Q00000X | Family Doctor | 9701245 | NC |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 9701245 | NC |
NPI | 1518961275 |
---|---|
Provider Name | Dr. Brian Wayne Bell |
First Address | Charlotte, NC 28260-1884 |
Second Address | Forest City, NC 28043-3585 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2005 |
Last Update Date | 28/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1345U | BCBS PROVIDER NUMBER (01) | NC |
1518961275 | (05) | NC |
188503 | (05) | SC |
891345U | (05) | NC |
G77485 | (02) | NC |
P00362116 | MEDICARE RAILROAD PROVIDE (01) | NC |
P01077510 | RAILROAD MEDICARE (01) | SC |