Jay B Bender, MD

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

049787 Issued in GA

Practice address

2500 Hospital Blvd
Suite 150
Roswell, GA 30076-4907

Phone

(678) 297-7588

Fax

(678) 297-7587

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Chronic Pain Clinics of America LLC

  • Specialist
  • Marietta, GA
  • NPI 1417054669
  NPD (past)
• Physical Medicine Center

  • Physical Medicine & Rehabilitation Physician
  • Marietta, GA
  • NPI 1588767750
  NPD (past)
• Shilo Enterprises PC

  • Chiropractor
  • Marietta, GA
  • NPI 1215398557
  NPD (past)
• Wellstar Medical Group, LLC

  • Physical Medicine & Rehabilitation Physician
  • Marietta, GA
  • NPI 1083907067
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1235237546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD",
            "address_2": "SUITE 150",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764907",
            "telephone_number": "678-297-7588",
            "fax_number": "678-297-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD",
            "address_2": "SUITE 150",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764907",
            "telephone_number": "678-297-7588",
            "fax_number": "678-297-7587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "JAY",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "049787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "049787",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Daniel Ben, D.C.
• Roy G Benaroch, MD
• Benchmark Healthcare Services LLC
• Benchmark Healthcare Services LLC
• Bender Orthopaedics & Spine Specialist
• Erik T. Bendiks, MD
• Christina Antoinette Benjamin, HAIR LOSS SPECIALIST
• Danielle Nicole Bennett, PT, DPT
• Ericka Tummings Bennett, MD
• Joan Karen Bennett, LMT, MMP

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.