DANA R BENNETT MD PC NPI 1407063563

NPI Information

NPI: 1407063563
Provider Name: DANA R BENNETT MD PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
121 S CRESCENT DR
PUEBLO WEST, CO
ZIP 81007
Phone: (719) 547-3924
Get Directions

DANA R BENNETT MD PC is a family medicine in Pueblo West, CO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DANA R BENNETT MD PC NPI is 1407063563. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

121 S CRESCENT DR
PUEBLO WEST, CO
ZIP 81007-433
Phone: (719) 547-3924
Fax: (719) 547-8368

The provider's authorized official is Patti F Bennett .
The authorized official title is Office Mgr and has the following contact phone number (719) 547-3924.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 3/7/2008.

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	207Q00000X	Family Medicine		21659	COLORADO	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	D23971	MEDICARE UPIN
2	CE4708	MEDICARE ID-TYPE UNSPECIFIED		GROUP
3	CE4718	MEDICARE ID-TYPE UNSPECIFIED		INDIVIDUAL
4	01216597	MEDICARE ID-TYPE UNSPECIFIED	COLORADO	INDIVIDUAL
5	04006540	MEDICAID	COLORADO

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 »