Matthew Bennett (NPI# 1063723971, PAC ID# 2264722446) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1063723971 |
| PAC ID by PECOS | 2264722446 |
| Professional Enrollment ID | I20160531000926 |
| Full Name | Matthew Bennett |
| Organization Legal Name | CHARLOTTE RADIOLOGY PA |
| Address |
1045 Negateway Ne Ct Concord NC 28025-2440 |
| Phone Number | 7043621945 |
| Gender | M |
| Medical School | UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4587577390 |
| Number of Group Practice Members | 147 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340001 | CAROLINAS MEDICAL CENTER-NORTHEAST |
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| 340166 | CAROLINAS MED CTR-UNIVERSITY |
| 340098 | CAROLINAS MEDICAL CENTER-PINEVILLE |
| 340075 | CAROLINAS HEALTHCARE SYSTEM-BLUE RIDGE |
| Address | Phone | Organization |
|---|---|---|
| 3816 Latrobe Dr, Charlotte, NC 28211-1167 | 7049095960 | CHARLOTTE RADIOLOGY PA |
| 8800 N Tryon St, Charlotte, NC 28262-3300 | 7046124955 | CHARLOTTE RADIOLOGY PA |
| 9908 Couloak Dr, Suite 202, Charlotte, NC 28216-8678 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 1045 Negateway Nect, Cocnord, NC 28025-2440 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 1045 Negateway Ne Ct, Concord, NC 28025-2440 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 1065 Negateway Nect, Concord, NC 28025-2440 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 7756 Gateway Ln Nw, Concord, NC 28027-4418 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 7756 Gateway Nwln, Concord, NC 28027-4418 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 920 Church St N, Concord, NC 28025-2927 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 9800 Kincey Ave, Suite 150, Huntersville, NC 28078-8405 | 7043625391 | CHARLOTTE RADIOLOGY PA |
| 2293 Sugar Hill Rd, Marion, NC 28752-7787 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC | |
| 2293 Sugar Hill Rd C, Marion, NC 28752-7787 | 8285804661 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| 2293 Sugar Hill Rd D, Marion, NC 28752-7787 | 8286528727 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| 2293 Sugar Hill Rd G, Marion, NC 28752-7787 | 7043625391 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| 724 Aubrey Bell Dr, Matthews, NC 28105-5055 | CHARLOTTE RADIOLOGY PA | |
| 12925 Hwy 601, Suite 300, Midland, NC 28107-9536 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 600 Hospital Dr, Monroe, NC 28112-6000 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 2201 S Sterling St, Morganton, NC 28655-4044 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC | |
| 2201 S Sterling St, Suite 200, Morganton, NC 28655-4044 | 8285807536 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| 2209 S Sterling St, Suite 330, Morgantown, NC 28655-4044 | 8285807536 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 | 8033279934 | CHARLOTTE RADIOLOGY PA |
| 925 S Long Dr, Rockingham, NC 28379-4835 | 7043621945 | CHARLOTTE RADIOLOGY PA |
| 720 Malcolm Blvd, Valdese, NC 28690-2872 | 8288743160 | BLUE RIDGE HEALTHCARE MEDICAL GROUP INC |
| Organization Legal Name | CHARLOTTE RADIOLOGY PA |
| Physicians | 141 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale Russell Shaw | Diagnostic Radiology | Charlotte Radiology Pa | 175 Amendment Ave, Rock Hill, SC 29732-3042 |
| Adrienne C Bean | Diagnostic Radiology | Charlotte Radiology Pa | 1090 Nw Gateway Ct, Suite 202, Concord, NC 28025-2414 |
| Marc Angelo Mancuso | Diagnostic Radiology | Charlotte Radiology Pa | 1802 E Main St, Lincolnton, NC 28092-3915 |
| Brian Adrian Howard | Diagnostic Radiology | Charlotte Radiology Pa | 3816 Latrobe Dr, Charlotte, NC 28211-1167 |
| Gary Joseph Defilipp | Diagnostic Radiology | Charlotte Radiology Pa | 7666 Charlotte Hwy 120, Indian Land, SC 29707-7003 |
| Ole Sami Aassar | Diagnostic Radiology | Charlotte Radiology Pa | 200 Glendale Dr W, Wilson, NC 27893-2772 |
| Pamela Sutton Oravetz | Physician Assistant | Charlotte Radiology Pa | 920 Church St N, Concord, NC 28025-2927 |
| Michael V. Varricchio Jr. | Physician Assistant | Charlotte Radiology Pa | 920 Church St N, Concord, NC 28025-2927 |
| Chelsea N Hanne | Physician Assistant | Charlotte Radiology Pa | 920 Church St N, Concord, NC 28025-2927 |
| Robert J Hosker | Diagnostic Radiology | Charlotte Radiology Pa | 1656 Riverchase Blvd, Suite 1200, Rock Hill, SC 29732-0270 |
| Street Address |
1045 NEGATEWAY NE CT |
| City | CONCORD |
| State | NC |
| Zip | 28025-2440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Fromke | Diagnostic Radiology | Charlotte Radiology Pa | 1045 Negateway Ne Ct, Concord, NC 28025-2440 |
| Michael A Meuse | Diagnostic Radiology | Charlotte Radiology Pa | 1045 Negateway Ne Ct, Concord, NC 28025-2440 |
| Daniel Seeburg | Diagnostic Radiology | Charlotte Radiology Pa | 1045 Negateway Ne Ct, Concord, NC 28025-2440 |
| Shannon Mccrann | Diagnostic Radiology | Charlotte Radiology Pa | 1045 Negateway Ne Ct, Concord, NC 28025-2440 |
| Daniel Stackhouse | Diagnostic Radiology | Charlotte Radiology Pa | 1045 Negateway Ne Ct, Concord, NC 28025-2440 |
| Jon Fromke | Diagnostic Radiology | Charlotte Radiology Pa | 1045 Negateway Ne Ct, Concord, NC 28025-2440 |
| Peter O Simon | Diagnostic Radiology | Charlotte Radiology Pa | 1045 Negateway Ne Ct, Concord, NC 28025-2440 |
| Kimberly Hendrix | Diagnostic Radiology | Charlotte Radiology Pa | 1045 Negateway Ne Ct, Concord, NC 28025-2440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacey B Gipe | Physician Assistant | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Lara Junine Pons | Hospitalist | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Steven E Lucas | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Jenna S Thomas | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Jonathan Ryan Patterson | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Richard A Smits | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Brent H Messick | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Susan R Andersen | General Practice | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Lori J Seymour | Physician Assistant | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Victor L Ha | Family Medicine | Carolinas Physicians Network Inc | 920 Church St N, Concord, NC 28025-0000 |
| Find all physicians in zip 28025 | |||
| City | CONCORD |
| Zip Code | 28025 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CONCORD + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Matthew Bennett.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.