DR. FREDRICK ANTHONY BENNETT M.D. NPI 1932143088

NPI Information

NPI: 1932143088
Provider Name: DR. FREDRICK ANTHONY BENNETT, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
10100 KANIS RD
LITTLE ROCK, AR
ZIP 72205
Phone: (501) 255-6000
Get Directions

DR. Fredrick Anthony Bennett, M.D. is a cardiovascular disease internal medicine in Little Rock, AR. 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. Fredrick Anthony Bennett, M.D. NPI is 1932143088. 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:

10100 KANIS RD
LITTLE ROCK, AR
ZIP 72205-202
Phone: (501) 255-6000
Fax: (501) 255-6400

The enumeration date for this NPI number is 6/16/2006 and was last updated on 7/8/2007.

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	C4453	ARKANSAS	Yes
2	207RI0011X	Internal Medicine	Interventional Cardiology	C4453	ARKANSAS	X

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	84063	MEDICARE UPIN	ARKANSAS
2	89T025	OTHER	ARKANSAS	MALPRACTICE INSURANCE
3	50413	MEDICARE ID-TYPE UNSPECIFIED	ARKANSAS

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

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