Active NPI
Alan Bennie, M.D.
- Diagnostic Radiology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME 98578
- Practice address
- 14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141 - Phone
- (813) 929-5451
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | ME98578 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | ME 98578 | FL | Primary |
Addresses
Primary practice location
14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141
Mailing address
14055 Riveredge Dr Ste 250
Tampa, FL 33637-2141
Phone (813) 929-5451
Other practice location 1
4200 Sun N Lake Blvd
Sebring, FL 33872-1986
Phone (863) 402-3447 ext. 2
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 026660346 | Other | NY | NY MEDICAID |
| 769T51 | Other | NY | NY MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
2500 Harbor Blvd
Port Charlotte, FL 33952-5000
Phone (941) 766-4903
2600 Bruce B Downs Blvd
Wesley Chapel, FL 33544-9207
Phone (813) 929-5436
2700 Healing Way
Wesley Chapel, FL 33543-5453
3100 E Fletcher Ave
Tampa, FL 33613-4613
Phone (813) 615-7075
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone (813) 788-0411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 98578 | FL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventhealth West Florida Imaging, Inc. | Current | Accepting new patients | |
| Florida Hospital Physician Group Inc | Current | Accepting new patients |
Locations
9441 Health Center Dr
Land O Lakes, FL 34637
Phone (813) 903-3700
4200 Sun N Lake Blvd
Sebring, FL 33872
Phone (863) 314-4406
7171 N Dale Mabry Hwy
Tampa, FL 33614
Phone (813) 558-8001
14055 Riveredge Dr
Ste 250
Tampa, FL 33637
Phone (813) 396-6238
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
7050 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 779-1209
Networks
- Freedom Health HMO Network
Interoperability endpoints
- abennie622147@adventhealth.direct-ci.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
-
- Radiology Clinic/Center
- Brandon, FL
- NPI 1619500881
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1760299093
-
- General Acute Care Hospital
- Sebring, FL
- NPI 1083692594
-
- General Acute Care Hospital
- Zephyrhills, FL
- NPI 1346354677
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1053321919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1073549895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14055 RIVEREDGE DR STE 250",
"city": "TAMPA",
"state": "FL",
"postal_code": "336372141",
"telephone_number": "813-929-5451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14055 RIVEREDGE DR STE 250",
"city": "TAMPA",
"state": "FL",
"postal_code": "336372141",
"telephone_number": "813-929-5451"
}
],
"practiceLocations": [
{
"address_1": "4200 Sun N Lake Blvd",
"address_purpose": "LOCATION",
"city": "Sebring",
"state": "FL",
"postal_code": "338721986",
"country_code": "US",
"telephone_number": "863-402-3447 x2",
"fax_number": "863-402-3448",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENNIE",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME98578",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME 98578",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY MEDICAID",
"identifier": "026660346",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY MEDICARE",
"identifier": "769T51",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.