Provider Demographics
NPI:1104154665
Name:CARROLL, BELLA STERLING (MD)
Entity type:Individual
Prefix:DR
First Name:BELLA
Middle Name:STERLING
Last Name:CARROLL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 N SANTA FE AVE STE 2010
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-7532
Mailing Address - Country:US
Mailing Address - Phone:405-272-5555
Mailing Address - Fax:405-272-5517
Practice Address - Street 1:6201 N SANTA FE AVE STE 2010
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-7532
Practice Address - Country:US
Practice Address - Phone:405-272-5555
Practice Address - Fax:405-272-5517
Is Sole Proprietor?:No
Enumeration Date:2009-11-20
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0032207Q00000X
OK18611207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK18611OtherMEDICAL LICENSE
TXM0032OtherTX MEDICAL BOARD