Provider Demographics
NPI:1336432046
Name:BELL, ASHLEY THRASHER (PA)
Entity type:Individual
Prefix:
First Name:ASHLEY
Middle Name:THRASHER
Last Name:BELL
Suffix:
Gender:F
Credentials:PA
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 19305
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28219-9305
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10620 PARK RD
Practice Address - Street 2:STE 202
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-8472
Practice Address - Country:US
Practice Address - Phone:704-667-0920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-27
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-02908363A00000X
TXPA09096363A00000X
CA58075363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX75-2616977-001OtherTRICARE
TX75-2616977-028OtherTRICARE
TX8205NJOtherBCBS
TX335473003Medicaid
TX8624NHOtherBCBS
TX8625NHOtherBCBS
TX335473004Medicaid
TX75-0818167-048OtherTRICARE
TX335473001Medicaid
TX75-0818167-044OtherTRICARE
TX75-1976930-005OtherTRICARE
TX8623NHOtherBCBS
TX75-0818167-015OtherTRICARE
TX335473002Medicaid
TX75-0818167-022OtherTRICARE
TX75-2616977-002OtherTRICARE
TX75-0818167-015OtherTRICARE
TX335473001Medicaid
TX8205NJOtherBCBS
TX345239YS6VMedicare PIN
TX8624NHOtherBCBS
TX335473003Medicaid
TX335473002Medicaid
TXP01331452Medicare Oscar/Certification
TX345238YNSXMedicare PIN