Gernetha Bell
Individual provider Active NPI Driver · Rockford, IL
NPI 1396407367 · NPPES record last updated Oct 7, 2021
Key facts
- NPI
- 1396407367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 4215 E. State St Suite 205D
Rockford, IL 61108 - Phone
- (815) 494-4204
- NPI assigned
- Oct 7, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gernetha Bell | Current |
Accepting new patients |
Locations
4215 E State St
Ste 205D
Rockford, IL 61108
Phone (815) 494-4204
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
4215 E. State St Suite 205D
Rockford, IL 61108
Mailing address
4215 E. State St Suite 205D
Rockford, IL 61108
Phone (815) 494-4204
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.