Individual provider Active NPI

Philip D Bentz, MD

  • Anesthesiology Physician
  • Pensacola, FL
National Provider Identifier
1225075252
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME34300 Issued in FL
Practice address
9400 University Pkwy
Pensacola, FL 32514-5752
Phone
(850) 471-0707
Fax
(850) 478-7377
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME34300 FL Primary

Addresses

Primary practice location

9400 University Pkwy
Pensacola, FL 32514-5752

Mailing address

PO Box 30423
Pensacola, FL 32503-1423
Phone (850) 471-0707

Other identifiers 6

IdentifierTypeStateIssuer
009704180MedicaidAL
17433OtherFLBLUE CROSS BLUE SHIELD
050012460OtherFLRAILROAD MEDICARE
Z123OtherFLHEALTH FIRST NETWORK
038166700MedicaidFL
59020293OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008001188 FL Practitioner - Anesthesiology 0840259321 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Pensacola PA Anesthesiology CurrentSince Sep 7, 2004 Accepting new patients
Ams Baptist LLC Anesthesiology CurrentSince Dec 1, 2018 Accepting new patients
Gastroenterology Associates of Pensacola PA CurrentSince Sep 7, 2004 Accepting new patients
Ams of Gulf Breeze LLC Anesthesiology CurrentSince Dec 1, 2018 Accepting new patients
The Anesthesia Group, P.a. Anesthesiology Past Accepting new patients

Locations

9400 University Pkwy
Ste 108
Pensacola, FL 32514

4828 N Davis Hwy
Pensacola, FL 32503

1717 N E St
Ste 203
Pensacola, FL 32501
Phone (850) 434-9300

9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000

123 Baptist Way
Pensacola, FL 32503
Phone (850) 434-4011

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

9400 University Pkwy
Ste 102
Pensacola, FL 32514
Phone (850) 208-6300

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1225075252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30423",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325031423",
            "telephone_number": "850-471-0707",
            "fax_number": "850-478-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 UNIVERSITY PKWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145752",
            "telephone_number": "850-471-0707",
            "fax_number": "850-478-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTZ",
        "first_name": "PHILIP",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME34300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009704180",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "17433",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "050012460",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST NETWORK",
            "identifier": "Z123",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038166700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "59020293",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.