DR. KENNETH R. BENNETT MD NPI 1043254253

NPI Information

NPI: 1043254253
Provider Name: DR. KENNETH R. BENNETT, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY
JACKSON, MS
ZIP 39216
Phone: (601) 984-5678
Get Directions

DR. Kenneth R. Bennett, MD is a cardiovascular disease internal medicine in Jackson, MS. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Kenneth R. Bennett, MD NPI is 1043254253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY
JACKSON, MS
ZIP 39216-500
Phone: (601) 984-5678
Fax: (601) 984-5638

The enumeration date for this NPI number is 6/16/2006 and was last updated on 1/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	05908	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B30706	MEDICARE UPIN	MISSISSIPPI
2	P00462157	OTHER	MISSISSIPPI	RAILROAD MEDICARE PTAN
3	1552470	MEDICAID	LOUISIANA
4	00119359	MEDICAID	MISSISSIPPI
5	302I067047	MEDICARE PIN	MISSISSIPPI
6	512I110050	MEDICARE PIN	MISSISSIPPI
7	180445	MEDICAID	ALABAMA
8	RR 060049688	OTHER	MISSISSIPPI	RAILROAD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »