DR. WALTER CHARLES BENNETT NPI 1164569703

NPI Information

  • NPI: 1164569703
  • Provider Name: DR. WALTER CHARLES BENNETT
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2310 THORNTON TAYLOR PKWY STE C
    FAYETTEVILLE, TN
    ZIP 37334
  • Phone: (931) 251-3009

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NPI Details

DR. Walter Charles Bennett is a family nurse practitioner in Fayetteville, TN with 2 years of experience. DR. Walter Charles Bennett NPI is 1164569703. 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:

2310 THORNTON TAYLOR PKWY STE C
FAYETTEVILLE, TN
ZIP 37334-668
Phone: (931) 251-3009

The NPI 1164569703 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.

  • Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg (HCPCS:J7320)
  • Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg (HCPCS:J7329)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Osteopathic manipulative treatment, 1-2 body regions (HCPCS:98925)
  • Therapy procedure using functional activities (HCPCS:97530)
  • Osteopathic manipulative treatment, 3-4 body regions (HCPCS:98926)

The enumeration date for this NPI number is 1/31/2007 and was last updated on 9/26/2024.

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
1363LF0000XNurse PractitionerFamily355160NEW YORKNo
2363LF0000XNurse PractitionerFamily16762TENNESSEEYes
3111N00000XChiropractor2025ALABAMANo

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
151507154OTHERALABAMABLUE CROSS/BLUE SHIELD

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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