Individual provider Active NPI

Brian Keith Bell, DDS

  • General Practice Dentistry
  • Lake Jackson, TX
National Provider Identifier
1003920257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20153 Issued in TX
Practice address
102 Flag Lake Dr Ste C
Lake Jackson, TX 77566-6215
Phone
(979) 297-1201
Fax
(979) 297-6226
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20153 TX Primary

Addresses

Primary practice location

102 Flag Lake Dr Ste C
Lake Jackson, TX 77566-6215

Mailing address

102 Flag Lake Dr Ste C
Lake Jackson, TX 77566-6215
Phone (979) 297-1201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2015 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20153TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brian K Bell DDS PA General Practice Past Accepting new patients
Bell & Crocker, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003920257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FLAG LAKE DR STE C",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666215",
            "telephone_number": "979-297-1201",
            "fax_number": "979-297-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FLAG LAKE DR STE C",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775666215",
            "telephone_number": "979-297-1201",
            "fax_number": "979-297-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "BRIAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.