Active NPI
Timothy Edward Bell, D.O.
- Family Medicine Physician
- Kingston, TN
National Provider Identifier
1811936099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO1764
- Practice address
- 814 N Kentucky St
Kingston, TN 37763-2678 - Phone
- (865) 647-3280
- Fax
- (865) 647-3289
- NPI assigned
- Jun 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO1764 | TN | Primary |
Addresses
Primary practice location
814 N Kentucky St
Kingston, TN 37763-2678
Mailing address
814 N Kentucky St
Kingston, TN 37763-2678
Phone (865) 647-3280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060814000490 | TN | Practitioner - Family Practice | 7517912074 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1764 | TN | MD | Marriage & Family Therapist |
| DO1764 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Health Management Inc. | Current | Accepting new patients |
Locations
2732 US Highway 411 S
Maryville, TN 37801
Phone (865) 681-5277
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1811936099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 N KENTUCKY ST",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377632678",
"telephone_number": "865-647-3280",
"fax_number": "865-647-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 N KENTUCKY ST",
"city": "KINGSTON",
"state": "TN",
"postal_code": "377632678",
"telephone_number": "865-647-3280",
"fax_number": "865-647-3289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "TIMOTHY",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "DO1764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.