Individual provider Active NPI

Christopher John Bennett

  • Anesthesiology Physician
  • Bedford, IN
National Provider Identifier
1063676591
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01068887A Issued in IN
Practice address
116 Erie Church Rd
Bedford, IN 47421-7590
Phone
(317) 489-1695
NPI assigned
Jul 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 11013190A IN
Anesthesiology Physician 207L00000X 01068887A IN Primary

Addresses

Primary practice location

116 Erie Church Rd
Bedford, IN 47421-7590

Mailing address

116 Erie Church Rd
Bedford, IN 47421-7590
Phone (317) 489-1695

Other identifiers 1

IdentifierTypeStateIssuer
201007020AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160826000720 MT Practitioner - Anesthesiology 2567643182 Reassigns benefits to 2 organizations
I20240802000644 FL Practitioner - Anesthesiology 2567643182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Partners of Montana PCGroup PAC ID 4385548809, 35 clinicians

Practice addresses (Care Compare)

1233 N 30TH St
Billings, MT 59101-0127
Phone (406) 657-7000

Hospital & facility affiliations

  • Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11013190AINMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Billings Clinic Current Accepting new patients
Billings Clinic CurrentSince Feb 1, 2023 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients
Billings Clinic CurrentSince Feb 1, 2023 Accepting new patients
Northwood Anesthesia Associates LLC Anesthesiology Current Accepting new patients

Locations

3291 N McMullen Booth Rd
Clearwater, FL 33761
Phone (727) 725-5800

1350 E Venice Ave
Venice, FL 34285
Phone (941) 445-5054

2407 Cypress Ridge Blvd
Wesley Chapel, FL 33544
Phone (813) 875-2600

1233 N 30th St
Billings, MT 59101
Phone (406) 237-3850

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

Interoperability endpoints

  • Direct secure messaging: cbennett@yourcarecommunity.org

Organizations & group practices 7

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.

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": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1063676591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ERIE CHURCH RD",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474217590",
            "telephone_number": "317-489-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 ERIE CHURCH RD",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474217590",
            "telephone_number": "317-489-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-14",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "11013190A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01068887A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201007020A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.