Provider Demographics
NPI:1043324189
Name:BELL, DEANNA S (MD)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:S
Last Name:BELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3601 THE VANDERBILT CLINIC
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-1835
Practice Address - Country:US
Practice Address - Phone:615-936-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2022-03-22
Deactivation Date:2019-02-18
Deactivation Code:
Reactivation Date:2019-02-26
Provider Licenses
StateLicense IDTaxonomies
TN37252208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2439391OtherUNITED HEALTHCARE
TN3891654Medicaid
TN4088290OtherBLUE CROSS BLUE SHIELD
TN37252OtherMEDICAL LICENSE #
TN3808638OtherAETNA
TN5440064Medicaid
TN8987153009OtherCIGNA
TN4088290OtherTENNCARE SELECT
TN4088290OtherTENNCARE SELECT