Todd Bender, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN202592 Issued in GA

Practice address

5032 Green Oak Dr SW
Lilburn, GA 30047-5529

Phone

(678) 978-2584

NPI assigned

Jul 18, 2016

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. B Abraham PC

  • Family Medicine Physician
  • Snellville, GA
  • NPI 1104826775

  GA

  Medicare reassignment Care Compare group NPD

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr. B Abraham PC 7 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGIDBA
• Direct secure messaging: todd.bender@dbap.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IGIDBA/Endpoint/IGIDBA

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 12, 2017.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1013360767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5032 GREEN OAK DR SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5032 GREEN OAK DR SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475529",
            "telephone_number": "678-978-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "TODD",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN202592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Ryan Beddingfield, RPH
• Believe & Conquer Therapeutic Services LLC
• Joi Aimee Bell-Blanding, WHNP
• Stacha Bell
• Bella Cosmetic and Family Dentistry
• Dianne Jean-Marie Bennett-Johnson, M.D.
• Danisha Bennett, NMT, LMT
• Katharine J Benton, PT, DPT
• Nardos A Benton, DMD
• Vanessa Bernal

• All providers in Lilburn, GA
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.