BRUCE KEVIN BENNETT MD NPI 1770518441

NPI Information

  • NPI: 1770518441
  • Provider Name: BRUCE KEVIN BENNETT, MD
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 220 HAMBURG TPKE
    WAYNE, NJ
    ZIP 07470
  • Phone: (973) 790-8090

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NPI Details

Bruce Kevin Bennett, MD is an obstetrics gynecology in Wayne, NJ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Bruce Kevin Bennett, MD NPI is 1770518441. 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:

220 HAMBURG TPKE
WAYNE, NJ
ZIP 07470-110
Phone: (973) 790-8090
Fax: (973) 790-3198

The NPI 1770518441 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 7/11/2006 and was last updated on 7/13/2009.

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
1207V00000XObstetrics & Gynecology25MA06066100NEW JERSEYYes

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
1F94992MEDICARE UPINNEW JERSEY
26233007MEDICAIDNEW JERSEY
31790731271OTHERNEW JERSEYGROUP NPI
4144422ZCK8MEDICARE PINNEW JERSEY
539114OTHERNEW JERSEYUNIVERSITY HEALTH PLANS

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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