Individual provider Active NPI

Edward Keith Bentson, M.D.

  • Internal Medicine Physician
  • Hendersonville, NC
National Provider Identifier
1083718639
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
32630 Issued in NC
Practice address
1895 Pisgah Dr
Hendersonville, NC 28791-3760
Phone
(828) 696-8166
Fax
(828) 696-8165
NPI assigned
Sep 12, 2006
Last updated
Jun 21, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 32630 NC Primary

Addresses

Primary practice location

1895 Pisgah Dr
Hendersonville, NC 28791-3760

Mailing address

1895 Pisgah Dr
Hendersonville, NC 28791-3760
Phone (828) 696-8166

Other identifiers 1

IdentifierTypeStateIssuer
8914993MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20101022000216 NC Practitioner - Internal Medicine 1557554524 Practice locations: Hendersonville, NC

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

1895 Pisgah Dr
Hendersonville, NC 28791-3760
Phone (828) 696-8164

271 Old Barn Rd
Suite C
Hendersonville, NC 28791-8406
Phone (828) 890-4905

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32630NCMDInternal Medicine Physician

Hospital & facility affiliations 3

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1083718639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1895 PISGAH DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913760",
            "telephone_number": "828-696-8166",
            "fax_number": "828-696-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 PISGAH DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913760",
            "telephone_number": "828-696-8166",
            "fax_number": "828-696-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTSON",
        "first_name": "EDWARD",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "32630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8914993",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.