John Nevin Bentwood, M.D.
Individual provider Active NPI Surgery Physician · Plymouth, NH
NPI 1184792566 · NPPES record last updated Oct 20, 2015
Key facts
- NPI
- 1184792566
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 5136 (NH)
- Practice address
- 16 Hospital Road
Plymouth, NH 03264 - Phone
- (603) 237-2234
- Fax
- (603) 536-4828
- NPI assigned
- Dec 1, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 5136 | NH | |
| Surgery Physician | 208600000X | 5136 | NH | Yes |
Addresses
Primary practice location
16 Hospital Road
Plymouth, NH 03264
Mailing address
P.O. Box 706
Plymouth, NH 03264-0706
Phone (603) 481-8757
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006885 | Medicaid | VT | |
| 3072788 | Medicaid | NH | |
| 81026885 | Medicaid | NH |
Other providers in Plymouth, NH
- Jonathan Charles Beach
- Makenna Beach
- Frances Marian Belcher
- Ashley Benes
- Jennifer Bentwood
- Julie N Bernier
- Chloe Bettencourt
- Matthew B. Beyer
- Divyesh Ashokbhai Bhagat
- Alexandra Abrah Bidoli
All providers in Plymouth, NH · Surgery Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.