Provider Demographics
NPI:1174889521
Name:BELL, BRUCE MASLAND (MD)
Entity type:Individual
Prefix:
First Name:BRUCE
Middle Name:MASLAND
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:RUSH UNIVERSITY MEDICAL CENTER
Mailing Address - Street 2:1650 W. HARRISON ST. SUITE 466 ATRIUM
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3800
Mailing Address - Country:US
Mailing Address - Phone:847-401-5294
Mailing Address - Fax:
Practice Address - Street 1:RUSH UNIVERSITY MEDICAL CENTER
Practice Address - Street 2:1650 W. HARRISON ST. SUITE 466 ATRIUM
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:847-401-5294
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN575562085R0204X
390200000X
IL0361436932085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program