Active NPI
Julia Wallace Bennett
- Veterinarian
- West Bridgewater, MA
National Provider Identifier
1194018457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 3559
- Practice address
- 595 W Center St
West Bridgewater, MA 02379-1526 - Phone
- (508) 587-2700
- NPI assigned
- May 19, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 3559 | MA | Primary |
Addresses
Primary practice location
595 W Center St
West Bridgewater, MA 02379-1526
Mailing address
595 W Center St
West Bridgewater, MA 02379-1526
Phone (508) 587-2700
Other names 1
- Julia Wallace
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3559 | MA | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305763200000",
"number": "1194018457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 W CENTER ST",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791526",
"telephone_number": "508-587-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 W CENTER ST",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791526",
"telephone_number": "508-587-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "JULIA",
"middle_name": "WALLACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-19",
"last_updated": "2011-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "MA",
"license": "3559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIA",
"last_name": "WALLACE",
"credential": "DVM",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.