Samuel Joseph Bell, LIC. SPEECH PATH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LSP3037 Issued in CA

Practice address

1307 Providence Rd
Brandon, FL 33511-4885

Phone

(813) 335-4063

NPI assigned

Aug 12, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1528290335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9415 CRESCENT LOOP CIR",
            "address_2": "APARTMENT 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336197611",
            "telephone_number": "813-463-3867",
            "fax_number": "813-349-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 PROVIDENCE RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114885",
            "telephone_number": "813-335-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "SAMUEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LIC. SPEECH PATH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9466",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "LSP3037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Belcastro, RDN, LDN
• Jessica Rose Belekevich, NP
• Elizabeth Belfiore
• Alaysha Bell
• Natasha Monica Bell
• Bellabrey Medical Services LLC
• Haylie C Belles I
• Dawn Natalie Belof-Ganter, D.C.
• Daja Marcella Belt, RCSWI
• William K Belton Jr., D.M.D.

• Speech-Language Pathologist in Brandon, FL
• Providers in Brandon, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.