Organization Active NPI

Randall C. Bell, M.D., PA

  • Pulmonary Disease Physician
  • San Antonio, TX
National Provider Identifier
1194979641
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G0352 Issued in TX
Legal business name
RANDALL C. BELL, M.D., PA
Practice address
4410 Medical Dr
Suite 440
San Antonio, TX 78229-6306
Phone
(210) 692-9400
Fax
(210) 692-9601
NPI assigned
Nov 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Authorized official

Name
Mrs. Claire Clark
Title
Practice Manager
Phone
(210) 692-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X G0352 TX Primary

Addresses

Primary practice location

4410 Medical Dr
Suite 440
San Antonio, TX 78229-6306

Mailing address

4410 Medical Dr
Suite 440
San Antonio, TX 78229-6306
Phone (210) 692-9400

Other identifiers 4

IdentifierTypeStateIssuer
110171901MedicaidTX
DN9973OtherTXRAILROAD MEDICARE PTAN
0009SHOtherTXBCBS
201992901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081204000256 TX Part B Supplier - Clinic/Group Practice 7911068358 Receives reassigned benefits from 2 practitioners
Practice locations: Castroville, TX; San Antonio, TX; Boerne, TX

National Provider Directory

National Provider Directory

Locations

4458 Medical Dr
Ste 505
San Antonio, TX 78229

4458 Medical Dr
Ste 515
San Antonio, TX 78229

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1194979641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR",
            "address_2": "SUITE 440",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296306",
            "telephone_number": "210-692-9400",
            "fax_number": "210-692-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 MEDICAL DR",
            "address_2": "SUITE 440",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296306",
            "telephone_number": "210-692-9400",
            "fax_number": "210-692-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL C. BELL, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "210-692-9400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "G0352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110171901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "DN9973",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0009SH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201992901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.