Active NPI
David Walden Bell, M.D.
- Family Medicine Physician
- Saltillo, MS
National Provider Identifier
1235249376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12673
- Practice address
- 1154 Cross Creek Dr
Saltillo, MS 38866-5777 - Phone
- (662) 840-8010
- Fax
- (662) 840-2656
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12673 | MS | Primary |
Addresses
Primary practice location
1154 Cross Creek Dr
Saltillo, MS 38866-5777
Mailing address
4935 Pecan Dr
Belden, MS 38826-9564
Phone (662) 840-0370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00125939 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050427000640 | MS | Practitioner - Family Practice | 8729027909 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12673 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friendship Medical Clinic, LLC | Current | Accepting new patients | |
| Plantersville Clinic, Inc | Current | Accepting new patients | |
| East Main Family Medical Clinic LLC | Current | Accepting new patients |
Locations
5482 Highway 15 N
Ecru, MS 38841
Phone (662) 256-9730
4127 W Main St
Tupelo, MS 38801
Phone (662) 269-3191
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGAACA
Organizations & group practices 3
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.
-
- Nurse Practitioner
- Tupelo, MS
- NPI 1285072058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235249376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4935 PECAN DR",
"city": "BELDEN",
"state": "MS",
"postal_code": "388269564",
"telephone_number": "662-840-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1154 CROSS CREEK DR",
"city": "SALTILLO",
"state": "MS",
"postal_code": "388665777",
"telephone_number": "662-840-8010",
"fax_number": "662-840-2656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "DAVID",
"middle_name": "WALDEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "12673",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00125939",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saltillo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.