Thomas C Bent, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A38147 Issued in CA

Practice address

362 3Rd St
Laguna Beach, CA 92651-2307

Phone

(949) 494-0761

Fax

(949) 494-3154

NPI assigned

Dec 12, 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 1

Medicare fee-for-service enrollment

Enrolled in CA

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 Medicine

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093876583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "362 3RD ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512307",
            "telephone_number": "949-494-0761",
            "fax_number": "949-494-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 3RD ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926512307",
            "telephone_number": "949-494-0761",
            "fax_number": "949-494-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENT",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A38147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A38147",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Beimfohr
• Alexandria Bekele, ASW, CATC IV
• Trevor Bellon
• Robert Leroy Belt, MD
• Lacee Bennett
• Best Strong Self
• Brittany Bettingen, RDN
• Michele Bialek, P.T.
• Connie Lee Bird, LCSW
• Becky E Black, RD

• Family Medicine Physician in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.