Jody B. Bentley, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0102201550 Issued in VA

Practice address

96 15TH St NW
Suite 111
Norton, VA 24273-1625

Phone

(276) 439-1860

Fax

(276) 439-1865

NPI assigned

Mar 8, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

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.

• Community Physicians Services Corporation

  • Clinic/Center
  • Norton, VA
  • NPI 1144245192
  NPD (past)
• Norton Community Physician Services LLC

  • Internal Medicine Physician
  • Norton, VA
  • NPI 1861674160

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1083682983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 15TH ST NW",
            "address_2": "SUITE 111",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731625",
            "telephone_number": "276-439-1860",
            "fax_number": "276-439-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 15TH ST NW",
            "address_2": "SUITE 111",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731625",
            "telephone_number": "276-439-1860",
            "fax_number": "276-439-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "JODY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102201550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00689801",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083682983",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100063400",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Gates Barry II
• Christopher M Basham, MD
• Anam Bashir
• Robert Williams Bechtel, MD
• Charles Jeff Begley, MD
• Christopher Berneau, DO
• Jessalyn Berry, DO
• Ashley Reba Bevins, D.O.
• Bio-Medical Applications of Virginia, Inc.
• Zachary Neil Blackmon, DO

• All providers in Norton, VA
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.