Provider Type Icon

LILLIE R BENNETT MD LTD NPI 1255456414


NPI Information

NPI: 1255456414
Provider Name: LILLIE R BENNETT MD LTD
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 49D1013023

Address:
1510 NORTH 28TH STREET
SUITE 207
RICHMOND, VA
ZIP 23223
Phone: (804) 649-0044
Get Directions

LILLIE R BENNETT MD LTD is a pediatrics in Richmond, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LILLIE R BENNETT MD LTD NPI is 1255456414. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1510 NORTH 28TH STREET
SUITE 207
RICHMOND, VA
ZIP 23223
Phone: (804) 649-0044
Fax: (804) 649-0758

The provider's authorized official is Lillie R Bennett .
The authorized official title is President and has the following contact phone number (804) 321-2651.

The CLIA number assigned to this NPI record is 49D1013023 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics0101233413VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16737188MEDICAIDVIRGINIA

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

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.