DR. ERIC BENNETT M.D. NPI 1083155337

NPI Information

NPI: 1083155337
Provider Name: DR. ERIC BENNETT, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 2775 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 524-0133

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NPI Details

DR. Eric Bennett, M.D. is a family medicine in Idaho Falls, ID with 8 years of experience. 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. DR. Eric Bennett, M.D. NPI is 1083155337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year:2017

The provider's business location address is:

2775 CHANNING WAY
IDAHO FALLS, ID
ZIP 83404-510
Phone: (208) 524-0133

The NPI 1083155337 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.

Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
Insertion of needle into vein for collection of blood sample (HCPCS:36415)
Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
Adm sarscov2 30mcg/0.3ml 3rd (HCPCS:0003A)
New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)

The enumeration date for this NPI number is 3/19/2017 and was last updated on 12/2/2020.

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 Code	Taxonomy Clasification	License Number	License State	Primary
1	207Q00000X	Family Medicine	10939737-1205	UTAH	No
2	390200000X	Student in an Organized Health Care Education/Training Program			No
3	207Q00000X	Family Medicine	M-14988	IDAHO	Yes

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: 11/21/2025

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