Individual provider Active NPI

Bradford Scott Bennett, DO

  • Hospitalist Physician
  • Wexford, PA
National Provider Identifier
1013411420
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
OS021450 Issued in PA
Practice address
12351 Perry Hwy
Wexford, PA 15090-8344
Phone
(412) 359-3030
NPI assigned
Mar 20, 2018
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DR.0067021 CO
Internal Medicine Physician 207R00000X 70556 CT
Hospitalist Physician 208M00000X 70556 CT
Hospitalist Physician 208M00000X 25MB12059300 NJ
Hospitalist Physician 208M00000X OS021450 PA Primary

Addresses

Primary practice location

12351 Perry Hwy
Wexford, PA 15090-8344

Mailing address

12351 Perry Hwy
Wexford, PA 15090-8344
Phone (412) 359-3030

Other practice location 1

90 Brick Rd Fl 3
Marlton, NJ 08053-2177
Phone (856) 355-6000

Other practice location 2

100 Bowman Dr Lowr Level1
Voorhees, NJ 08043-9612
Phone (856) 247-3000

Other practice location 3

218 Sunset Rd Fl 5
Willingboro, NJ 08046-1110
Phone (609) 444-0599

Other practice location 4

175 Madison Ave Fl 1
Mount Holly, NJ 08060-2038
Phone (609) 914-6000

Other practice location 5

1600 Haddon Ave Fl 6
Camden, NJ 08103-3101
Phone (856) 757-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118000820 NJ Practitioner - Internal Medicine 8729322383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie Col of Osteo Med at Seton Hill Univ, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

Marlton, NJ 08053
Phone (856) 355-0340

1600 Haddon Ave
Camden, NJ 08103-3101

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB12059300NJMDHospitalist Physician
OS021450PAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Wellspan Medical Group CurrentSince Jan 10, 2022 Accepting new patients
Allegheny Clinic CurrentSince Sep 5, 2023 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Tower Health Medical Group CurrentSince Oct 1, 2022 Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Oct 1, 2022 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 1, 2024 Accepting new patients
Tower Health Medical Group Internal Medicine Current Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Virtua Medical Group, PA Internal Medicine Current Accepting new patients
Pottstown Clinic Company LLC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Wellspan Medical Group CurrentSince Jan 10, 2022 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Oct 1, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Jan 2, 2023 Accepting new patients
Tower Health Medical Group CurrentSince Oct 1, 2022 Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 1, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 1, 2024 Accepting new patients
University of Penn-Medical Group CurrentSince Jan 2, 2023 Accepting new patients
Phoenixville Clinic Company LLC Hospitalist Current Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 1, 2024 Accepting new patients
Allegheny Clinic Internal Medicine CurrentSince Sep 5, 2023 Accepting new patients
Virtua Our Lady of Lourdes Hospital Inc Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1600 Haddon Ave
Fl 6
Camden, NJ 08103
Phone (856) 247-2160

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

90 Brick Rd
Fl 3
Marlton, NJ 08053
Phone (856) 247-2160

175 Madison Ave
Fl 1
Mount Holly, NJ 08060
Phone (609) 914-6000

100 Bowman Dr
Lowr
Voorhees, NJ 08043
Phone (856) 247-2160

218 Sunset Rd
Fl 5
Willingboro, NJ 08046
Phone (609) 444-0359

631 N Broad Street Ext
Grove City, PA 16127
Phone (724) 450-7000

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

12351 Perry Hwy
Wexford, PA 15090
Phone (412) 359-3030

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

1001 S George St
Fl 4
York, PA 17403
Phone (717) 851-2417

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Interoperability endpoints

  • Direct secure messaging: bbennett2421069@direct.trinity-health.org
  • Direct secure messaging: bbennett265097@directvirtua.org
  • FHIR API: https://api.platform.athenahealth.com/1606/brand/1/csg/101/fhir/r4

Organizations & group practices 23

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

View all 23

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1013411420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12351 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908344",
            "telephone_number": "412-359-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908344",
            "telephone_number": "412-359-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Brick Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532177",
            "country_code": "US",
            "telephone_number": "856-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bowman Dr Lowr Level1",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439612",
            "country_code": "US",
            "telephone_number": "856-247-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 Sunset Rd Fl 5",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461110",
            "country_code": "US",
            "telephone_number": "609-444-0599",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Madison Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602038",
            "country_code": "US",
            "telephone_number": "609-914-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Haddon Ave Fl 6",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081033101",
            "country_code": "US",
            "telephone_number": "856-757-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "BRADFORD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.0067021",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "70556",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "70556",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MB12059300",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PA",
            "license": "OS021450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.