Bria Leigh Bennie, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9105229 Issued in FL

Practice address

102 Park Place Blvd Ste 3
Kissimmee, FL 34741-2358

Phone

(407) 944-4900

Fax

(407) 483-0688

NPI assigned

Oct 8, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Florida Infectious Disease Specialists Inc.

  • Infectious Disease Physician
  • Kissimmee, FL
  • NPI 1801143136
  NPD
• Florida Infectious Disease Specialists Inc.

  • Infectious Disease Physician
  • Kissimmee, FL
  • NPI 1841553765
  NPD
• Mai Vo & Associates LLC

  • Optometrist
  • Wesley Chapel, FL
  • NPI 1902506405
  NPD (past)
• Antarctic Emergency Physicians LLC

  • Emergency Medicine Physician
  • Waynesburg, PA
  • NPI 1770987026

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1033444088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PARK PLACE BLVD. BLDG. D",
            "address_2": "SUITE 3",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412358",
            "telephone_number": "407-944-4900",
            "fax_number": "407-483-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK PLACE BLVD STE 3",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347412358",
            "telephone_number": "407-944-4900",
            "fax_number": "407-483-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNIE",
        "first_name": "BRIA",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9105229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45-5436649",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine L Benitez
• Eva Benitez
• Amanda Bennett
• Amanda Davis Bennett, DNP, NNP-BC
• Matthew Edward Bennett, PA-C
• Leslie Jacob Benny, D.O.
• Sandra H Bent, RN, RRT
• Vinton G Bent, RRT
• Tayler Bentley, FNP-C
• Danielle Nichole Benton, BSN, RN

• Physician Assistant in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.