Bency Mathai MD PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4301071335 Issued in MI

Legal business name

BENCY MATHAI MD PLLC

Practice address

1310 Greenwood Ave
Jackson, MI 49203-3077

Phone

(517) 960-3966

Fax

(517) 787-9183

NPI assigned

Apr 6, 2009

Organization subpart

No

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

Authorized official

Name

Bency Mathai, MD

Title

Physician

Phone

(517) 960-3966

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1194967166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 GREENWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033077",
            "telephone_number": "517-960-3966",
            "fax_number": "517-787-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 GREENWOOD AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033077",
            "telephone_number": "517-960-3966",
            "fax_number": "517-787-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENCY MATHAI MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "MATHAI",
        "authorized_official_first_name": "BENCY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "517-960-3966",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MI",
            "license": "4301071335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bemer, LLMSW
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• Jarrett James Benaway, DC
• Lisa Joan Bence, NP
• Christopher Benedict
• Donna Benedict, NP
• Abigail Bennett
• Annette Marie Bennett, DC
• Bryan Patrick Bennett, DO

• Clinic/Center in Jackson, MI
• Providers in Jackson, MI by specialty
• Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.