Organization Active NPI

John Edward Bell DO PA

  • Physical Medicine & Rehabilitation Physician
  • Plantation, FL
National Provider Identifier
1750670139
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS-6821 Issued in FL
Legal business name
JOHN EDWARD BELL DO PA
Practice address
11240 NW 15TH St
Plantation, FL 33323-2432
Phone
(954) 895-1877
Fax
(954) 452-8012
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Dr. John Edward Bell, D.O.NPI 1356435085
Title
President
Phone
(954) 895-1877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X OS-6821 FL Primary

Addresses

Primary practice location

11240 NW 15TH St
Plantation, FL 33323-2432

Mailing address

1161 NW 78TH Ave
Plantation, FL 33322-5116
Phone (954) 753-9337

Other identifiers 5

IdentifierTypeStateIssuer
340238OtherFLUNITED HEALTH CARE
80938OtherFLBLUE CROSS BLUE SHIELD
250009735OtherFLPALMETTO RR MEDICARE
1012084OtherFLCAREPLUS
252279900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120417000427 FL Part B Supplier - Clinic/Group Practice 8426219593 Receives reassigned benefits from 1 practitioner
Practice locations: Sunrise, FL; Pompano Beach, FL; Ft. Lauderdale, FL; Coral Springs, FL; Coconut Creek, FL; Ft Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

2901 Coral Hills Dr
Ste 250
Coral Springs, FL 33065
Phone (954) 603-5508

1 W Sample Rd
Ste 207
Deerfield Beach, FL 33064
Phone (954) 946-2570

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1750670139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 NW 78TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333225116",
            "telephone_number": "954-753-9337",
            "fax_number": "954-753-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11240 NW 15TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333232432",
            "telephone_number": "954-895-1877",
            "fax_number": "954-452-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN EDWARD BELL DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-895-1877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "OS-6821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "340238",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "80938",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RR MEDICARE",
            "identifier": "250009735",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREPLUS",
            "identifier": "1012084",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252279900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.