WILLIAM M BENNETT MD NPI 1457320525

NPI Information

NPI: 1457320525
Provider Name: WILLIAM M BENNETT, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
1040 NW 22ND AVE
SUITE 480
PORTLAND, OR
ZIP 97210
Phone: (503) 413-6555
Get Directions

William M Bennett, MD is a nephrology internal medicine in Portland, OR with 61 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. William M Bennett, MD NPI is 1457320525. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Graduation Year:1963

The provider's business location address is:

1040 NW 22ND AVE
SUITE 480
PORTLAND, OR
ZIP 97210
Phone: (503) 413-6555
Fax: (503) 413-6563

The NPI 1457320525 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 3/14/2006 and was last updated on 4/11/2014.

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
1	207RN0300X	Internal Medicine	Nephrology	09973	WASHINGTON	No
2	207RN0300X	Internal Medicine	Nephrology	07668	OREGON	Yes

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
1	8159055	MEDICAID	WASHINGTON
2	C92190	MEDICARE UPIN	OREGON
3	R00WCGSJH	MEDICARE ID-TYPE UNSPECIFIED	OREGON
4	042044	MEDICAID	OREGON

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: 4/28/2024

NPI Synchronization or Removal

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