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RICARDO M. BENNETT DPM NPI 1285709436


NPI Information

NPI: 1285709436
Provider Name: RICARDO M. BENNETT DPM
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
5275 LEE HWY
SUITE 303
ARLINGTON, VA
ZIP 22207
Phone: (703) 538-5111
Get Directions

RICARDO M. BENNETT DPM is a podiatrist in Arlington, VA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. RICARDO M. BENNETT DPM NPI is 1285709436. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5275 LEE HWY
SUITE 303
ARLINGTON, VA
ZIP 22207-619
Phone: (703) 538-5111
Fax: (703) 538-4193

The provider's authorized official is Ricardo Bennett .
The authorized official title is Doctor and has the following contact phone number (703) 538-5111.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 4/20/2008.


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
1213E00000XPodiatristVIRGINIAYes

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=========OTHERVIRGINIAHORIZON
2909539MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
3U66217MEDICARE UPINVIRGINIA
4271860OTHERVIRGINIAANTHEM-VA
51205510001MEDICARE NSCVIRGINIA
6=========OTHERVIRGINIABLUE CROSS BLUE SHIELD
7=========OTHERVIRGINIATRICARE

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: 5/5/2024

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