Steven Wesley Bennett

Primary specialty

SpecialistTaxonomy code 174400000X

License

01235 Issued in MD

Practice address

2414 Pennsylvania Ave
Baltimore, MD 21217-1722

Phone

(443) 447-1661

Fax

(410) 466-2154

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Steven W. Bennett Professional name

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Urban Medical Institute

  • Community Health Clinic/Center
  • Baltimore, MD
  • NPI 1396950911
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1013988708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 ROYAL FERN WAY",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212441164",
            "telephone_number": "443-447-1661",
            "fax_number": "410-466-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 PENNSYLVANIA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171722",
            "telephone_number": "443-447-1661",
            "fax_number": "410-466-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "STEVEN",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "01235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "700501600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "BENNETT",
            "middle_name": "W.",
            "credential": "D.P.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rayshawna Bennett
• Richard G Bennett, M.D.
• Rosa Bennett, LCSW-C
• Sarah Renee Bennett, CRNP
• Shirene Mera Bennett, CRNP
• Wendy Lynet Bennett, M.D.
• Boaz I. Bennof, PT
• Temima Simha Bensimon
• Morgan Bensinger, PA-C
• Rasmine Benson-Brown

• Specialist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.