Provider Demographics
NPI:1316920267
Name:BELL, THOMAS CHARLES (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:CHARLES
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 1:2006 FRANKLIN ST SE STE 200
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4537
Mailing Address - Country:US
Mailing Address - Phone:256-539-0457
Mailing Address - Fax:256-539-5827
Practice Address - Street 1:2006 FRANKLIN ST SE
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4551
Practice Address - Country:US
Practice Address - Phone:256-539-0457
Practice Address - Fax:256-539-5827
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN551472085R0202X
AL145562085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL141146Medicaid
AL239941Medicaid
AL51595625OtherBCBS
AL213230Medicaid
AL51595639OtherBCBS
AL140571Medicaid
AL126964Medicaid
AL244199Medicaid
AL51595621OtherBCBS
AL51595640OtherBCBS
AL83081Medicaid
AL009910979Medicaid
AL51595635OtherBCBS
AL51595641OtherBCBS
AL009942796Medicaid
11704211OtherCAQH
AL135544Medicaid
AL140848Medicaid
AL244136Medicaid
AL244443Medicaid
AL244444Medicaid
AL245623Medicaid
AL245881Medicaid
AL51067221OtherBCBS