JASON A. BENNETT MD NPI 1386755809

NPI Information

  • NPI: 1386755809
  • Provider Name: JASON A. BENNETT, MD
  • Classification: Pathology - 207ZP0102X
  • Specialization: Anatomic Pathology & Clinical Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 15 N MEDICAL DR STE 1100
    SALT LAKE CITY, UT
    ZIP 84112
  • Phone: (801) 581-2121

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NPI Details

Jason A. Bennett, MD is an anatomic pathology and clinical pathology pathology in Salt Lake City, UT with 26 years of experience. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. Jason A. Bennett, MD NPI is 1386755809. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

15 N MEDICAL DR STE 1100
SALT LAKE CITY, UT
ZIP 84112-100
Phone: (801) 581-2121

The NPI 1386755809 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 enumeration date for this NPI number is 8/31/2006 and was last updated on 5/25/2023.

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
1207ZP0102XPathologyAnatomic Pathology & Clinical PathologyMD429260PENNSYLVANIANo
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyMD.205664LOUISIANANo
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology21356WEST VIRGINIANo
4207ZP0102XPathologyAnatomic Pathology & Clinical PathologyME154997FLORIDANo
5207ZP0102XPathologyAnatomic Pathology & Clinical Pathology13423479-1205UTAHYes

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
11017445660001MEDICAIDPENNSYLVANIA
2156840OTHERPENNSYLVANIAGATEWAY
303223248MEDICAIDMISSISSIPPI
4114105000MEDICAIDFLORIDA
57905789OTHERCIGNA
62304313MEDICAIDLOUISIANA
7000000493642OTHERANTHEM
81904630OTHERPENNSYLVANIAHIGHMARK
91393196OTHERAETNA HMOS
102698906MEDICAIDOHIO
1177644605OTHERAETNA PPOS

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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