DANA R BENNETT MD PC NPI 1407063563

NPI Information

  • NPI: 1407063563
  • Provider Name: DANA R BENNETT MD PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 121 S CRESCENT DR
    PUEBLO WEST, CO
    ZIP 81007
  • Phone: (719) 547-3924

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NPI Details

DANA R BENNETT MD PC is a family medicine in Pueblo West, CO. 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. DANA R BENNETT MD PC NPI is 1407063563. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

121 S CRESCENT DR
PUEBLO WEST, CO
ZIP 81007-433
Phone: (719) 547-3924
Fax: (719) 547-8368

The provider's authorized official is Patti F Bennett .
The authorized official title is Office Mgr and has the following contact phone number (719) 547-3924.

The enumeration date for this NPI number is 5/17/2007 and was last updated on 3/7/2008.

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
1207Q00000XFamily Medicine21659COLORADOYes

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
1D23971MEDICARE UPIN
2CE4708MEDICARE ID-TYPE UNSPECIFIEDGROUP
3CE4718MEDICARE ID-TYPE UNSPECIFIEDINDIVIDUAL
401216597MEDICARE ID-TYPE UNSPECIFIEDCOLORADOINDIVIDUAL
504006540MEDICAIDCOLORADO

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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