DR. DANIEL BRUCE BENNETT MD NPI 1447363833

NPI Information

  • NPI: 1447363833
  • Provider Name: DR. DANIEL BRUCE BENNETT, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 04D2081008
  • Address: 1000 E MATTHEWS AVE
    SUITE B
    JONESBORO, AR
    ZIP 72401
  • Phone: (870) 932-6883

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NPI Details

DR. Daniel Bruce Bennett, MD is a general practice in Jonesboro, AR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Daniel Bruce Bennett, MD NPI is 1447363833. 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:

1000 E MATTHEWS AVE
SUITE B
JONESBORO, AR
ZIP 72401-307
Phone: (870) 932-6883
Fax: (870) 972-0719

The NPI 1447363833 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 CLIA number assigned to this NPI record is 04D2081008 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/17/2006 and was last updated on 6/13/2016.

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
1208D00000XGeneral PracticeE2282ARKANSASYes

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
15L223MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
2138617001MEDICAIDARKANSAS
35L223MEDICARE PINARKANSAS
4G93327MEDICARE UPINARKANSAS

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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