DR. CHARLES NELSON BENNETT MD NPI 1659373330

NPI Information

  • NPI: 1659373330
  • Provider Name: DR. CHARLES NELSON BENNETT, MD
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Individual
  • Address: 301 S PALM AVE
    PALATKA, FL
    ZIP 32177
  • Phone: (386) 328-7493

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NPI Details

DR. Charles Nelson Bennett, MD is an adult medicine family medicine in Palatka, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Charles Nelson Bennett, MD NPI is 1659373330. 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:

301 S PALM AVE
PALATKA, FL
ZIP 32177-143
Phone: (386) 328-7493
Fax: (386) 328-4137

The enumeration date for this NPI number is 8/12/2005 and was last updated on 2/24/2010.

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
1207QA0505XFamily MedicineAdult Medicine035737FLORIDAYes

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
195481MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2D63480MEDICARE UPINFLORIDA
3042618100MEDICAIDFLORIDA
47522348OTHERFLORIDAAETNA

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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