ROBERT J BENNETT MD NPI 1982694386

NPI Information

NPI: 1982694386
Provider Name: ROBERT J BENNETT, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
1813 W HARVARD AVE
ROSEBURG, OR
ZIP 97471
Phone: (541) 673-4303
Get Directions

Robert J Bennett, MD is a diagnostic radiology radiology in Roseburg, OR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Robert J Bennett, MD NPI is 1982694386. 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:

1813 W HARVARD AVE
ROSEBURG, OR
ZIP 97471-752
Phone: (541) 673-4303
Fax: (541) 440-9739

The enumeration date for this NPI number is 10/26/2005 and was last updated on 2/11/2015.

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	2085R0202X	Radiology	Diagnostic Radiology	MD13173	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	R0000WCGFT	MEDICARE PIN	OREGON
2	265900	MEDICAID	OREGON
3	D72973	MEDICARE UPIN
4	R00WCGFTB	MEDICARE PIN

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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