Larry Bennett Medical L L C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LARRY BENNETT MEDICAL L L C

Practice address

217 W Broadway St
Mt Pleasant, MI 48858-2576

Phone

(989) 773-4433

Fax

(989) 772-9522

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Larry M Bennett, M.D.NPI 1134132038

Title

Owner

Phone

(989) 773-4433

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Michael Bennett, MD

  • Internal Medicine Physician
  • Mt Pleasant, MI
  • NPI 1134132038
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1093896029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W BROADWAY ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582576",
            "telephone_number": "989-773-4433",
            "fax_number": "989-772-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W BROADWAY ST",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582576",
            "telephone_number": "989-773-4433",
            "fax_number": "989-772-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY BENNETT MEDICAL L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-773-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093896029",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1103710492",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Lamerato, PT, DPT
• Christine Marie Landino, LMSW
• Binh H Lang
• Alizah Langlois
• Steven Lapso, ATC
• Shawn Elizabeth Larry, MSW
• Cheyenna Larsen
• Laurel Health Care Company of Mt Pleasant
• Laurel Health Care Company of Mt. Pleasant
• Laurie Potie Counseling Services

• Internal Medicine Physician in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.