Provider Demographics
NPI:1194710798
Name:BELL, THOMAS GRIFFIN (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:GRIFFIN
Last Name:BELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 BEACH DR NE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-3414
Mailing Address - Country:US
Mailing Address - Phone:727-822-2001
Mailing Address - Fax:727-823-4549
Practice Address - Street 1:234 BEACH DR NE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33701-3414
Practice Address - Country:US
Practice Address - Phone:727-822-2001
Practice Address - Fax:727-823-4549
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME33179207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
D65305Medicare UPIN
62142Medicare ID - Type Unspecified