Active NPI
Matthew Thomas Bennett, M.D.
- Diagnostic Radiology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 2014-02268
- Practice address
- 700 E Morehead St Ste 300
Charlotte, NC 28202-2742 - Phone
- (704) 362-5391
- Fax
- (704) 941-3468
- NPI assigned
- Jun 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2014-02268 | NC | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 32830 | SC |
Addresses
Primary practice location
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Mailing address
700 E Morehead St Ste 300
Charlotte, NC 28202-2742
Phone (704) 362-5391
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160531000926 | NC | Practitioner - Diagnostic Radiology | 2264722446 | Reassigns benefits to 2 organizations |
| I20160601002346 | SC | Practitioner - Diagnostic Radiology | 2264722446 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Maryland School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 362-1945
1000 Healing Way
Matthews, NC 28104-4969
Phone (800) 821-1535
1010 E Dixon Blvd
Suite B
Shelby, NC 28152-6838
Phone (980) 487-2900
1025 Morehead Medical Dr
Suite 100
Charlotte, NC 28204-2964
Phone (704) 326-1945
1045 Negateway NE CT
Concord, NC 28025-2440
Phone (704) 362-1945
1045 Negateway Nect
Cocnord, NC 28025-2440
Phone (704) 334-7800
10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-1945
10648 Park Rd
Charlotte, NC 28210-8407
Phone (704) 362-5391
1065 Negateway Nect
Concord, NC 28025-2440
Phone (704) 334-7800
12016 Lemmond Farm Dr
Suite 100
Charlotte, NC 28227-8353
Phone (704) 863-9600
12905 Rosedale Hill Ave
Huntersville, NC 28078-3341
Phone (704) 801-1000
13640 Steelecroft Pkwy
Charlotte, NC 28278-7565
Phone (704) 334-7800
16035 Johnston Rd
Charlotte, NC 28277-2566
Phone (704) 667-0950
16455 Statesville Rd
Huntersville, NC 28078-7135
Phone (704) 367-2232
1656 Riverchase Blvd
Suite 1200
Rock Hill, SC 29732-0270
Phone (803) 327-9934
1802 E Main St
Lincolnton, NC 28092-3915
Phone (980) 212-2610
181 Daniel Rd
Forest City, NC 28043-7151
Phone (828) 286-9036
2700 Providence Rd S
Waxhaw, NC 28173-6313
Phone (704) 334-7800
2711 Lane St
Kannapolis, NC 28083-9217
Phone (704) 334-7800
332 N Trade St
Suite 2000
Matthews, NC 28105-1728
Phone (704) 302-8500
433 McAlister Rd
Lincolnton, NC 28092-4147
Phone (704) 362-1945
4525 Cameron Valley Pkwy
Charlotte, NC 28211-4369
487 Lake Concord Rd NE
Concord, NC 28025-2934
Phone (704) 403-0200
500 Morven Rd
Wadesboro, NC 28170-2745
Phone (704) 362-1945
600 Hospital Dr
Monroe, NC 28112-6000
Phone (704) 362-1945
Hospital & facility affiliations
- Carolinas Medical Center-Northeast
- Carolinas Medical Center/Behav Health
- Atrium Health Pineville
- Atrium Health Union
- Atrium Health University City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014-02268 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Union Medical Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Blue Ridge Healthcare Medical Group, Inc. | Current | Accepting new patients | |
| Charlotte Radiology PA | Diagnostic Radiology | Past | Accepting new patients |
| Blue Ridge Healthcare Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
700 E Morehead St
Ste 300
Charlotte, NC 28202
Phone (704) 442-4390
2134 14th Avenue Cir NW
Ste D
Hickory, NC 28601
Phone (828) 580-1236
2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393
2209 S Sterling St
Ste 200
Morganton, NC 28655
Phone (828) 580-6572
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.
-
- Obstetrics & Gynecology Physician
- Connelly Springs, NC
- NPI 1467993931
NC
-
- Internal Medicine Physician
- Morganton, NC
- NPI 1578424685
-
- Gastroenterology Physician
- Morganton, NC
- NPI 1902069693
-
- Diagnostic Radiology Physician
- Hickory, NC
- NPI 1578842035
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Charlotte, NC
- NPI 1003110677
Diagnostic Radiology
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1346297892
Hospital
-
- General Acute Care Hospital
- Monroe, NC
- NPI 1396790325
Hospital
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
Hospital
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
Hospital
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
Hospital
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1063723971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022742",
"telephone_number": "704-362-5391",
"fax_number": "704-941-3468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E MOREHEAD ST STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022742",
"telephone_number": "704-362-5391",
"fax_number": "704-941-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "MATTHEW",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-24",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2014-02268",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "32830",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.