NPIMap

Organization Active NPI

Lawrence W Bence MD PC

  • Family Medicine Physician
  • Florence, AZ
National Provider Identifier
1255454286
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15656 Issued in AZ
Legal business name
LAWRENCE W BENCE MD PC
Practice address
150 S Main St
Florence, AZ 85132-3012
Phone
(520) 868-5811
Fax
(520) 868-1223
NPI assigned
Apr 6, 2007
Last updated
Feb 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Lawrence W Bence, MD
Title
Owner
Phone
(520) 868-5811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 15656 AZ Primary

Addresses

Primary practice location

150 S Main St
Florence, AZ 85132-3012

Mailing address

PO Box 669
150 S Main St
Florence, AZ 85132-3012
Phone (520) 868-5811

Other identifiers 2

IdentifierTypeStateIssuer
1043275324OtherAZNPI LEE HOLLIDAY FNP
1194713628OtherAZLAWRENCE W BENCE MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1255454286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "address_2": "150 S MAIN ST",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851323012",
            "telephone_number": "520-868-5811",
            "fax_number": "520-868-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S MAIN ST",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851323012",
            "telephone_number": "520-868-5811",
            "fax_number": "520-868-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE W BENCE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "BENCE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-868-5811",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "15656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI LEE HOLLIDAY FNP",
            "identifier": "1043275324",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAWRENCE W BENCE MD",
            "identifier": "1194713628",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.