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WAYNE DAVID LEROY BENTHAM MD NPI 1609952407


NPI Information

NPI: 1609952407
Provider Name: WAYNE DAVID LEROY BENTHAM, MD
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

PECOS Registration: Yes

Address:
3640 TALMAGE CIR STE 216
VADNAIS HEIGHTS, MN
ZIP 55110
Phone: (952) 431-5330
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Wayne David Leroy Bentham, MD is a psychiatry psychiatry neurology in Vadnais Heights, MN with 27 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Wayne David Leroy Bentham, MD NPI is 1609952407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1997

The provider's business location address is:

3640 TALMAGE CIR STE 216
VADNAIS HEIGHTS, MN
ZIP 55110-100
Phone: (952) 431-5330
Fax: (952) 431-5334

The NPI 1609952407 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)

The enumeration date for this NPI number is 10/27/2006 and was last updated on 2/28/2023.


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
12084P0015XPsychiatry & NeurologyPsychosomatic Medicine62533-20WISCONSINNo
22084P0800XPsychiatry & NeurologyPsychiatry62533-20WISCONSINNo
32084P0800XPsychiatry & NeurologyPsychiatry68407MINNESOTAYes

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
10186104OTHERWASHINGTONL&I
21609952407MEDICAIDWASHINGTON
3214692001MEDICAIDARKANSAS
41609952407MEDICAIDMISSOURI
5276890OTHERINTERNAL ID-MOTOR VEHICLE ID

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.