BRUCE ADAM BENNETT (NPI# 1720605397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720605397 |
Entity Type | Individual |
Full Name | BRUCE ADAM BENNETT |
Credential | RN |
Practice Address |
610 Lincoln St Centerville SD 57014-2040 |
Mailing Address |
29614 461st Ave Centerville SD 57014-6711 |
Practice Telephone | 6055632291 |
Mailing Telephone | 6054086452 |
Enumeration Date | 2020-06-30 |
Last Update Date | 2020-06-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WS0200X |
Registered Nurse Specialization: School |
R024679 | SD | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669486049 | Bruce Chisholm Bennett | Dentist | 625 West Rollins Rd, Round Lake Beach, IL 60073 | 2006-07-28 |
1225007818 | Bruce Wayne Bennett | Family Medicine | 3333 Brookview Hills Blvd Ste 204, Winston Salem, NC 27103-5661 | 2006-03-16 |
1245387950 | Bruce S Bennett | Nurse Anesthetist, Certified Registered | 101 Dudley St, Providence, RI 02905-2401 | 2007-01-04 |
1952401713 | Bruce C Bennett | Psychiatry & Neurology | 1020 E 2nd St, Suite 100, Casper, WY 82601-2946 | 2006-09-22 |
1316960859 | Bruce Alan Bennett | Physician Assistant | 421 N Main St, Leeds, MA 01053-9764 | 2006-07-25 |
1225050073 | Bruce E Bennett | Nurse Anesthetist, Certified Registered | 830 Washington St, Watertown, NY 13601-4066 | 2006-07-24 |
1770518441 | Bruce Kevin Bennett | Obstetrics & Gynecology | 220 Hamburg Tpke, Wayne, NJ 07470-2110 | 2006-07-11 |
1750356622 | Bruce A Bennett | Surgery | 401 Phalen Blvd, Mail Stop 41104a, St Paul, MN 55101-5302 | 2006-02-22 |
Street Address |
610 LINCOLN ST |
City | CENTERVILLE |
State | SD |
Zip Code | 57014-2040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407181001 | Centerville School District 60-01 | Local Education Agency (LEA) | 610 Lincoln St, Centerville, SD 57014-2040 | 2009-10-15 |
1790137834 | Nichole Johnson | Speech-Language Pathologist | 610 Lincoln St, Centerville, SD 57014-2040 | 2016-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477081743 | Lewis Family Drug, LLC | Pharmacy | 513 Broadway St, Centerville, SD 57014 | 2017-05-31 |
1003956202 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 500 Vermillion St, Centerville, SD 57014 | 2007-02-07 |
1518062629 | Pioneer Memorial Hospital and Health Services | Pharmacy | 513 Broadway, Centerville, SD 57014 | 2006-09-13 |
1508969569 | Cody D Carstensen | Pharmacist | 512 Broadway, Centerville, SD 57014 | 2006-09-06 |
1528017662 | Pioneer Memorial Hospital &health Services | Clinic/Center | 512 Broadway, Centerville, SD 57014-0070 | 2006-05-08 |
1417284928 | Candace L Verdoorn | Nurse Practitioner | 512 Broadway, Centerville, SD 57014-0070 | 2009-11-05 |
1043313950 | Lavonne Isaak | Pharmacy Technician | 512 Broadway, Centerville, SD 57014-0070 | 2006-09-06 |
1134129836 | Centerville Community Ambulance Service, Inc. | Ambulance | 800 Main Street, Box 181, Centerville, SD 57014-0181 | 2005-07-26 |
1922023944 | Justin Delzer | Chiropractor | 540 Broadway, Centerville, SD 57014-0271 | 2006-07-12 |
1881684637 | The Evangelical Lutheran Good Samaritan Society | Durable Medical Equipment & Medical Supplies | 500 Vermillion St, Centerville, SD 57014-2168 | 2005-10-24 |
Find all providers in zip 57014 |
Taxonomy Code | 163WS0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033606900 | Jodi Lynn Moore | Registered Nurse | 410 E Monroe St, Rapid City, SD 57701-1424 | 2018-04-17 |
1023550506 | Rita Eggert | Registered Nurse | 1300 W Willow St, Harrisburg, SD 57032-2221 | 2016-11-15 |
1215487079 | Kathryn M Larson I | Registered Nurse | 200 Willow Street, Harrisburg, SD 57032 | 2016-10-05 |
1295284073 | Heather Hurtig | Registered Nurse | 4010 W 82nd St, Sioux Falls, SD 57108-6012 | 2016-09-22 |
1386193175 | Michelle Cotter | Registered Nurse | 600 S Cliff Ave, Harrisburg, SD 57032-2422 | 2016-09-22 |
1487103214 | Kerry Leighty | Registered Nurse | 4503 Park Dr, Rapid City, SD 57702-6926 | 2016-09-21 |
1285183012 | Sateera Thompsen | Registered Nurse | 424 E Indiana St, Rapid City, SD 57701-5675 | 2016-09-21 |
1386193118 | Rita Dzintars | Registered Nurse | 3125 W Flormann St, Rapid City, SD 57702-5081 | 2016-09-21 |
1407309529 | Ardis Ilene Moeller | Registered Nurse | 201 W Park St, Brandon, SD 57005-2300 | 2016-07-25 |
1134672397 | Valerie Rose Anderson | Registered Nurse | 3101 S 4th Ave, Sioux Falls, SD 57105-5809 | 2016-07-24 |
Find all providers with the same taxonomy |
City | CENTERVILLE |
Zip Code | 57014 |
Please comment or provide details below to improve the information on BRUCE ADAM BENNETT.
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.