ANTHONY A BENNETT M D P C NPI 1316994213

NPI Information

  • NPI: 1316994213
  • Provider Name: ANTHONY A BENNETT M D P C
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: ADVANCED VIRTUAL RADIOLOGY PLLC
  • Address: 29777 TELEGRAPH RD
    SOUTHFIELD, MI
    ZIP 48034
  • Phone: (248) 894-8019

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NPI Details

ANTHONY A BENNETT M D P C is a diagnostic radiology radiology in Southfield, MI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. ANTHONY A BENNETT M D P C NPI is 1316994213. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Advanced Virtual Radiology Pllc.

The provider's business location address is:

29777 TELEGRAPH RD
SOUTHFIELD, MI
ZIP 48034-625
Phone: (248) 894-8019
Fax: (248) 799-0473

The provider's authorized official is Anthony A Bennett .
The authorized official title is Radiologist and has the following contact phone number (248) 894-8019.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 3/8/2011.

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
12085B0100XRadiologyBody ImagingAB063302MICHIGANNo
22085U0001XRadiologyDiagnostic UltrasoundAB063302MICHIGANNo
32085R0202XRadiologyDiagnostic RadiologyAB063302MICHIGANYes

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
1MI3594MEDICARE PINMICHIGAN
2300F392040OTHERMICHIGANBCBS

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: 3/30/2025

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