Organization Active NPI

Robert M Bell MD PC

  • Ophthalmology Physician
  • Las Vegas, NM
National Provider Identifier
1790061349
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
NM80-123 Issued in NM
Legal business name
ROBERT M BELL MD PC
Practice address
HC 33 Box 64
Las Vegas, NM 87701-9504
Phone
(505) 454-1530
Fax
(505) 454-1531
NPI assigned
Oct 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Dr. Stirling M Puck, MD
Title
Vice President
Phone
(505) 983-3055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X NM80-123 NM Primary

Addresses

Primary practice location

HC 33 Box 64
Las Vegas, NM 87701-9504

Mailing address

HC 33 Box 64
Las Vegas, NM 87701-9504
Phone (505) 454-1530

Other identifiers 1

IdentifierTypeStateIssuer
17244MedicaidNM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120328000274 NM Part B Supplier - Clinic/Group Practice 5193985216 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NM

National Provider Directory

National Provider Directory

Locations

64 HC 33
Las Vegas, NM 87701
Phone (505) 454-1530

Practitioners & affiliated clinicians

Practitioners 1

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": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1790061349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 33 BOX 64",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877019504",
            "telephone_number": "505-454-1530",
            "fax_number": "505-454-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 33 BOX 64",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877019504",
            "telephone_number": "505-454-1530",
            "fax_number": "505-454-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M BELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "PUCK",
        "authorized_official_first_name": "STIRLING",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "505-983-3055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "NM80-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17244",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.