Provider Demographics
NPI:1194913988
Name:BELL, BILL G (MD)
Entity type:Individual
Prefix:DR
First Name:BILL
Middle Name:G
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:PO BOX 232577
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92023-2577
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7040 AVENIDA ENCINAS
Practice Address - Street 2:110
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92011-4654
Practice Address - Country:US
Practice Address - Phone:760-931-0099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2017-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG25820207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G258200Medicaid
CA00G258201Medicaid
CA00G258200Medicaid
A42806Medicare UPIN
CAG25820Medicare PIN