Active NPI
Stephen Bell, MD
- Anesthesiology Physician
- Belleville, IL
National Provider Identifier
1972632040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- R9D55
- Practice address
- 28 N 64TH St
Belleville, IL 62223-3808 - Phone
- (908) 653-9399
- Fax
- (908) 653-9305
- NPI assigned
- Mar 5, 2007
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | R9D55 | MO | Primary |
Addresses
Primary practice location
28 N 64TH St
Belleville, IL 62223-3808
Mailing address
PO Box 822344
Philadelphia, PA 19182-2344
Phone (314) 991-0985
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R9D55 | Other | MO | MEDICAL LICENSE |
| 36094284 | Other | IL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9D55 | MO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Anesthesia Inc. | Anesthesiology | Past | Accepting new patients |
| Broad Anesthesia Associates | Anesthesiology | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972632040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 822344",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191822344",
"telephone_number": "314-991-0985",
"fax_number": "908-653-9305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 N 64TH ST",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622233808",
"telephone_number": "908-653-9399",
"fax_number": "908-653-9305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELL",
"first_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "R9D55",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "R9D55",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "36094284",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belleville, IL
- Lakshmi R. Beeravolu, MD
- Behavior Innovation Group, LLC
- Bel Clair Ambulatory Surgical Treatment Center, LTD
- Bel Clair Ambulatory Surgical Treatment Center, LTD.
- Neil Belanger, CRNA
- Belle Valley School District 119
- Janice Beller, PT
- Belleville Area SPC SRV Co - Adm
- Belleville Area Special Services Cooperative
- Belleville Area Special Services Cooperative
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.