DR. BERT BENNETT III (NPI# 1750323705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750323705 |
| Entity Type | Individual |
| Full Name | DR. BERT BENNETT III |
| Credential | PH.D. |
| Practice Address |
3111 Maplewood Ave Suite 105 Winston-salem NC 27103-3906 |
| Mailing Address |
1684 Chickasha Dr Pfafftown NC 27040-8210 |
| Practice Telephone | 3366246412 |
| Practice Fax Number | 3367243839 |
| Mailing Telephone | 3366381812 |
| Mailing Fax Number | 3369461075 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2015-09-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1361 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6000742 | 05 |
| Street Address |
3111 MAPLEWOOD AVE SUITE 105 |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356383251 | Elizabeth Bennett Townsend | Counselor | 3111 Maplewood Ave, Suite 105, Winston-salem, NC 27103-3906 | 2006-06-12 |
| 1215982186 | Khosrow Bahrani | Psychiatry & Neurology | 3111 Maplewood Ave, Suite # 101, Winston-salem, NC 27103-3906 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386637247 | Robert L Rominger IIi | Psychologist | 2910 Briarcliff Rd, Winston-salem, NC 27106-3077 | 2005-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033737465 | Kindred Care Therapy | Psychologist | 213 Dick St Ste 200, Fayetteville, NC 28301-5771 | 2020-07-13 |
| 1710507314 | Allison Irving | Psychologist | 3119 Briar Stream Run, Raleigh, NC 27612-5241 | 2020-04-23 |
| 1689200537 | Danielle R Oakley | Psychologist | 401 Clarkson Ridge Ln, Hillsborough, NC 27278-9863 | 2020-03-22 |
| 1356974562 | Cathy M. Foister | Psychologist | 40 Chester Pl, Asheville, NC 28806-1508 | 2020-02-16 |
| 1023653268 | Colton Abraham Brown | Psychologist | 70 Woodfin Pl Ste 237, Asheville, NC 28801-2467 | 2019-11-12 |
| 1023676442 | Savinsky Psychological Associates, Pllc | Psychologist | 1143c Executive Cir Ste 104, Cary, NC 27511-4526 | 2019-05-31 |
| 1770148751 | Personal Enrichment Counseling & Consulting Services, Pllc | Psychologist | 10130 Mallard Creek Rd Ste 320, Charlotte, NC 28262-6001 | 2019-05-06 |
| 1841752367 | Access Counseling Services, Pllc | Psychologist | 804 S Garnett St Ste A-1, Henderson, NC 27536-4571 | 2019-04-03 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1578048856 | Kainat's Helping Hand | Psychologist | 857 Town Centre Blvd, Clayton, NC 27520-2179 | 2018-10-02 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on DR. BERT BENNETT III.
| 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.