ROBERT T. BENNETT, M.D.,PA (NPI# 1588771075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588771075 |
| Entity Type | Organization |
| Organization Name | ROBERT T. BENNETT, M.D.,PA |
| Practice Address |
2512 Delaney Rd Wilmington NC 28403-6002 |
| Practice Telephone | 9107636257 |
| Practice Fax Number | 9103430171 |
| Mailing Telephone | 9107636257 |
| Mailing Fax Number | 9103430171 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT T BENNETT (PRESIDENT) |
| Authorized Official Telephone | 9107636257 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 9700858 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 891109P | 05 |
| Street Address |
2512 DELANEY RD |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-6002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982927398 | Carolina Healthcare Associates, Inc. | Urology | 2512 Delaney Rd, Wilmington, NC 28403-6002 | 2010-03-12 |
| 1457684672 | Carolina Healthcare Associates, Inc. | Urology | 2512 Delaney Rd, Wilmington, NC 28403-6002 | 2009-09-08 |
| 1336304708 | Susan Andracchi Md Pa | Ophthalmology | 2512 Delaney Rd, Wilmington, NC 28403-6002 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841695004 | Thomas Barnett Mobley IIi | Urology | 1413 Landfall Dr, Wilmington, NC 28405-4251 | 2014-10-30 |
| 1548689037 | Robert David Brown | Urology | 501 W 14th St Ste 4e18, Wilmington, DE 19801-1013 | 2014-04-10 |
| 1477846590 | Alex M Raney | Urology | 923 Barley Drive, Wilmington, DE 19807 | 2011-05-23 |
| 1831416510 | Mona Yezdani | Urology | 2000 Foulk Rd Ste F, Wilmington, DE 19810-3642 | 2010-04-21 |
| 1912001090 | Sadashiva Rao | Urology | 1815 W 13th St Ste 4, Wilmington, DE 19806-4054 | 2006-09-11 |
| 1467463695 | Philip Constandi Aschi | Urology | 1150 W Locust Street, Suite 600, Wilmington, OH 45177-2063 | 2006-08-11 |
| 1144278722 | David J Cozzolino | Urology | 2000 Foulk Road, Suite F, Wilmington, DE 19810 | 2006-05-05 |
| 1649257742 | Edward Orestes Janosko II | Urology | 1606 Physicians Dr Ste 102, Wilmington, NC 28401-7348 | 2005-12-29 |
| 1427040963 | Jose M Gueco | Urology | 33b Trolley Sq, Wilmington, DE 19806-3352 | 2005-08-19 |
| 1659372639 | David Mckenzie Kraebber | Urology | 2421 Silver Stream Ln, Wilmington, NC 28401-7684 | 2005-08-02 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on ROBERT T. BENNETT, M.D.,PA.
| 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.