Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 01074805A | IN |
N | 207RR0500X | Rheumatology | ME0082431 | FL |
NPI | 1083689939 |
---|---|
Provider Name | Dr. Gregory Marcos Bell |
First Address | Indianapolis, IN 46250-2805 |
Second Address | Indianapolis, IN 46219-5533 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2006 |
Last Update Date | 10/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201268150 | (05) | IN |
I06284 | (02) | FL |
P01456985 | RR MEDICARE (01) | IN |