Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 9768 | MT |
NPI | 1003838236 |
---|---|
Provider Name | Jerald A. Bell |
First Address | Billings, MT 59107-5100 |
Second Address | Billings, MT 59101-0905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 01/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000094741 | BCBS PIN (01) | MT |
0036193 | MDCD PIN (01) | MT |
116220900 | MDC D PIN (01) | WY |
H19957 | (02) | MT |