Individual provider Active NPI

Michael P. Bentley, M.D.

  • Specialist
  • Montgomery, AL
National Provider Identifier
1063472322
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12601 Issued in AL
Practice address
6727 Taylor Court
Montgomery, AL 36117-7708
Phone
(334) 284-2800
Fax
(334) 284-0438
NPI assigned
Mar 23, 2006
Last updated
Oct 26, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 12601 AL Primary

Addresses

Primary practice location

6727 Taylor Court
Montgomery, AL 36117-7708

Mailing address

6727 Taylor Court
Montgomery, AL 36117-7708
Phone (334) 284-2800

Other identifiers 2

IdentifierTypeStateIssuer
51083847OtherALBLUE CROSS BLUE SHIELD
529102270MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120206000464 AL Practitioner - Plastic and Reconstructive Surgery 9032376876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Alabama School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Plastic Surgery Associates of Montogmery P.C.Group PAC ID 0648267971, 3 clinicians

Practice addresses (Care Compare)

6727 Taylor CT
Montgomery, AL 36117-7708
Phone (334) 284-2800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Plastic Surgery Associates of Montogmery P.C. Specialist CurrentSince Jul 1, 1991 Accepting new patients
Plastic Surgery Associates of Montgomery PastSince Jul 15, 1991 Accepting new patients

Locations

6727 Taylor Ct
Montgomery, AL 36117
Phone (334) 284-2800

Interoperability endpoints

  • Direct secure messaging: michael.bentley@direct.baptistfirst.org

Organizations & group practices 2

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.

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1063472322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 TAYLOR COURT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177708",
            "telephone_number": "334-284-2800",
            "fax_number": "334-284-0438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 TAYLOR COURT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177708",
            "telephone_number": "334-284-2800",
            "fax_number": "334-284-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "MICHAEL",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "12601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51083847",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529102270",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.