BRUCE ADAM BENNETT


Address: 610 Lincoln St, Centerville, SD 57014-2040
Phone: 6055632291

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WS0200X Registered Nurse
Specialization: School
R024679 SD Nursing Service Providers

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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

Office Location

Street Address 610 LINCOLN ST
City CENTERVILLE
State SD
Zip Code 57014-2040

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WS0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City CENTERVILLE
Zip Code 57014

Improve Information

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Dataset Information

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.

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