Lillie R Bennett MD LTD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101233413 Issued in VA

Legal business name

LILLIE R BENNETT MD LTD

Practice address

1510 North 28TH Street
Suite 207
Richmond, VA 23223

Phone

(804) 649-0044

Fax

(804) 649-0758

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Lillie R Bennett, MDNPI 1588735955

Title

President

Phone

(804) 321-2651

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lillie R Bennett MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lillie R Bennett MD LTD

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1386762110
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lillie Robinson Bennett, MD

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1588735955
  NPD (past) Authorized official
• Richard Leroy Bennett Jr., MD

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1699834796
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255456414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 NORTH 28TH STREET",
            "address_2": "SUITE 207",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23223",
            "telephone_number": "804-649-0044",
            "fax_number": "804-649-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 NORTH 28TH STREET",
            "address_2": "SUITE 207",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23223",
            "telephone_number": "804-649-0044",
            "fax_number": "804-649-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIE R BENNETT MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "LILLIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-321-2651",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101233413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6737188",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lighthouse Beacon of Hope
• Lighthouse Beacon of Hope
• Lightyear Health Clinic VA, Inc.
• Lightyear Health Clinic Virginia PC
• Emily Liles, RDN
• Lillie R Bennett MD LTD
• Elizabeth Lilliston, PA
• James David Lilly Jr., DDS
• Aaron Christopher Lim, M.D.
• Jin Sung Lim, MD

• Pediatrics Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.