Benton Pediatrics

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

BENTON PEDIATRICS

Practice address

5612 NW 43Rd St
Gainesville, FL 32653-3332

Phone

(352) 376-4542

Fax

(352) 376-4959

NPI assigned

Mar 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Charles Kent Powers III, MD

Title

MD/Owner

Phone

(352) 376-4542

Specialties & licenses 2

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1093956526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326533332",
            "telephone_number": "352-376-4542",
            "fax_number": "352-376-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326533332",
            "telephone_number": "352-376-4542",
            "fax_number": "352-376-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "352-376-4542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "FL",
            "license": "ME53353",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048463600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Grace Bentle
• Katonya Bentley-Anderson
• Hope Aznavorian Bentley, MD
• Rebecca Bentley, ATC, LAT
• Thomas Patrick Bentley, M.D.
• Heather Marie Benton, OTR/L
• Thomas BB Benton, MD
• James A Benzmiller, M.D.
• Lindsay Taylor Ber, MD
• Carl Charles Berasi IV, M.D.

• Mental Illness Community Based Residential Treatment Facility in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mental Illness Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.