Shirley G Bell

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Bridgeport, CT

NPI 1679905749 · NPPES record last updated Jul 31, 2013

Key facts

NPI
1679905749
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
267 Ellsworth St
Unit 9C
Bridgeport, CT 06605-3165
Phone
(203) 545-0409
NPI assigned
Jul 31, 2013
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
The Davis & Brooks Family Agency Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

267 Ellsworth St
Unit 9C
Bridgeport, CT 06605-3165

Mailing address

267 Ellsworth St
Unit 9C
Bridgeport, CT 06605-3165
Phone (203) 545-0409

Other providers in Bridgeport, CT

All providers in Bridgeport, CT · Student in an Organized Health Care Education/Training Program in Connecticut

Sources for this page

Verify at the official NPI Registry.