Individual provider Active NPI

Devin Bell, D.O.

  • Family Medicine Physician
  • Lake St Louis, MO
National Provider Identifier
1710240221
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2015014043 Issued in MO
Practice address
1200 HRC Plaza Dr
Lake St Louis, MO 63367-1858
Phone
(636) 265-2822
Fax
(636) 265-2823
NPI assigned
Jun 19, 2012
Last updated
Dec 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2015014043 MO Primary

Addresses

Primary practice location

1200 HRC Plaza Dr
Lake St Louis, MO 63367-1858

Mailing address

1200 HRC Plaza Dr
Lake St Louis, MO 63367-1858
Phone (636) 265-2822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150831003103 MO Practitioner - Family Practice 8527213768 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2015014043MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
180 Health Lifestyle Wellness Centers CurrentSince Dec 8, 2025 Accepting new patients
180 Health Lifestyle Wellness Centers Family Medicine PastSince Dec 8, 2025 Accepting new patients

Locations

500 E Battlefield St
Springfield, MO 65807
Phone (417) 887-0340

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1710240221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HRC PLAZA DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671858",
            "telephone_number": "636-265-2822",
            "fax_number": "636-265-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HRC PLAZA DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671858",
            "telephone_number": "636-265-2822",
            "fax_number": "636-265-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "DEVIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2015014043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

Verify at the official NPI Registry.