BRIAN NATHAN BENNETT (NPI# 1275639692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275639692 |
| Entity Type | Individual |
| Full Name | BRIAN NATHAN BENNETT |
| Credential | D.P.M. |
| Practice Address |
1416 Wainbrook Dr Augusta GA 30909-6289 |
| Practice Telephone | 7063123668 |
| Practice Fax Number | 7063123670 |
| Mailing Telephone | 7063123668 |
| Mailing Fax Number | 7063123670 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2019-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD000842 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | UNITED HEALTHCARE | 2700070 | 01 |
| GA | AETNA HMO | 2592457 | 01 |
| GA | RAILROAD MEDICARE | 480032159 | 01 |
| GA | MEDICARE PTAN | 4292280003 | 01 |
| GA | 00812985B | 05 | |
| SC | SOUTH CAROLINA MEDICAID | GPD842 | 01 |
| GA | BCBS OF GEORGIA | 7052274 | 01 |
| GA | AETNA PPO | 7104253 | 01 |
| GA | 000812985C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386095008 | Brian Bennett | Preventive Medicine | 8600 Gosling Rd, The Woodlands, TX 77381-4845 | 2016-06-23 |
| 1982636627 | Brian Lee Bennett | Chiropractor | 5445 Detroit Rd, Suite 201, Sheffield Village, OH 44054 | 2006-07-06 |
| 1780657270 | Brian T Bennett | Family Medicine | 3001 Highland View Dr, Freeport, IL 61032-6942 | 2006-02-07 |
| 1275150625 | Brian Chase Bennett | Internal Medicine | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2020-07-01 |
| 1275195281 | Brian William Bennett | Nurse Anesthetist, Certified Registered | 10 Hospital Dr, Saint Peters, MO 63376-1659 | 2019-07-01 |
| 1811344153 | Brian James Bennett | Pharmacist | 2110 S M 76, West Branch, MI 48661-8737 | 2016-05-17 |
| 1649516931 | Brian J. Bennett | Specialist/Technologist | 2731 Commercial Way, Montrose, CO 81401 | 2012-12-14 |
| 1932355153 | Brian Bennett | Counselor | 542 N Main St, Fall River, MA 02720-3515 | 2008-08-08 |
| 1477501609 | Brian R Bennett | Internal Medicine | 77 Nelson St, Suite 310, Auburn, NY 13021-1944 | 2006-05-04 |
| 1891766077 | Brian Charles Bennett | Urology | 3821 Ed Dr, Raleigh, NC 27612-8038 | 2006-01-27 |
| Street Address |
1416 WAINBROOK DR |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30909-6289 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144262148 | Christopher David Anna | Podiatrist | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2006-06-12 |
| 1467887877 | Trevor Sean Payne | Podiatrist | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2013-09-05 |
| 1194854091 | Ian Russell Driscoll | Surgery | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2007-03-05 |
| 1366513988 | Augusta Foot & Ankle, PC | Podiatrist | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2006-11-13 |
| 1023114238 | Mickey Dwight Stapp | Podiatrist | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
| 1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
| 1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
| 1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
| 1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
| 1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
| 1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
| 1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
| 1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
| 1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
| Find all providers in zip 30909 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528532504 | Foot and Ankle of Augusta Pa | Podiatrist | 3 Saint Catherine St, Augusta, ME 04330-5732 | 2019-01-14 |
| 1922272012 | Foot and Ankle Center of Augusta | Podiatrist | 1142 Druid Park Ave, Augusta, GA 30904-5850 | 2008-04-18 |
| 1144262148 | Christopher David Anna | Podiatrist | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2006-06-12 |
| 1871026179 | Kirmanj Tahsin Atrushi | Podiatrist | 1515 Laney Walker Blvd, Augusta, GA 30904-5827 | 2017-04-04 |
| 1467887877 | Trevor Sean Payne | Podiatrist | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2013-09-05 |
| 1043574643 | Fyne Foot Care Center | Podiatrist | 1710 Central Ave, Augusta, GA 30904-5733 | 2012-06-28 |
| 1366675209 | Sakiyna Rose | Podiatrist | 1 Freedom Way, Augusta, GA 30904-6258 | 2009-08-26 |
| 1043361074 | Augusta Center for Foot and Ankle Surgery | Podiatrist | 1515 Laney Walker Blvd, Augusta, GA 30904-5827 | 2007-01-16 |
| 1366513988 | Augusta Foot & Ankle, PC | Podiatrist | 1416 Wainbrook Dr, Augusta, GA 30909-6289 | 2006-11-13 |
| 1629175013 | Henry Coleman Scheuller | Podiatrist | Togus Va Medical Center, 1 Va Center, Augusta, ME 04330-6796 | 2006-09-20 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.