Roberta K Bennett MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

042-0007424 Issued in VT

Legal business name

ROBERTA K BENNETT MD

Practice address

160 Benmont Ave Ste 20
Bennington, VT 05201-1842

Phone

(802) 442-3570

Fax

(802) 447-3392

NPI assigned

Jan 3, 2011

Last updated

Jan 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roberta K Bennett, M.D.NPI 1366512584

Title

Owner

Phone

(802) 442-3520

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roberta Karibo Bennett, M.D.

  • Psychiatry Physician
  • Bennington, VT
  • NPI 1366512584
  NPD (past) Authorized official

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1023312246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BENMONT AVE STE 20",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011842",
            "telephone_number": "802-442-3570",
            "fax_number": "802-447-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BENMONT AVE STE 20",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011842",
            "telephone_number": "802-442-3570",
            "fax_number": "802-447-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA K BENNETT MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-442-3520",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VT",
            "license": "042-0007424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005143",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Jean Reynolds, MD
• Richard S. Donela
• Rizzo Spine and Sport (Rizzo Spine and Rehab Center)
• Justin Geoffrey Rizzo, D.C.
• Roadsafe, PLLC
• Kelsey Robinson
• Rachel Rodney, MS,RD,CSSD,CDE
• Anne Rogers
• Rachel Rogge, PHARMD
• Scott W Rogge, MD

• Neurology Physician in Bennington, VT
• Providers in Bennington, VT by specialty
• Neurology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.