Bryan Bennett, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-119291 Issued in AL

Practice address

500 Cherry St
Bluefield, WV 24701-3306

Phone

(304) 327-1656

NPI assigned

Aug 27, 2014

Last updated

Aug 27, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Mississippi School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covington County HospitalGroup PAC ID 4183517253, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Covington County Hospital Cah Hospital, Collins, MS, CCN 251325

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bryanbennett@grh.medalliesdirect.net
• FHIR API: https://fhir-usa.unify.chbase.com/org/covingc-3983785e

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

• Covington County Hospital

  dba Family Care of Main Street

  • Rural Health Clinic/Center
  • Collins, MS
  • NPI 1518260330
  Medicare reassignment Care Compare group NPD
• Covington County Hospital

  dba Smith County EH Pro Fees

  • Emergency Medical Services (Emergency Medicine) Physician
  • Raleigh, MS
  • NPI 1003654567
  NPD
• Eugene Kevin Ohea Dr E Kevin Ohea

  dba E. Kevin O'Hea MD Family Practice

  • Family Medicine Physician
  • Lucedale, MS
  • NPI 1184136962
  NPD
• George County Hospital

  • Rural Acute Care Hospital
  • Lucedale, MS
  • NPI 1023074028
  NPD
• E Kevin Ohea MD General Family Practice LLC

  • Family Medicine Physician
  • Lucedale, MS
  • NPI 1831687953
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covington County Hospital

  • Critical Access Hospital
  • Collins, MS
  • NPI 1215965249
  Care Compare affiliation

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1255731287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR STE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285834",
            "telephone_number": "770-874-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHERRY ST",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013306",
            "telephone_number": "304-327-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "BRYAN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-119291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cortney Ball, RPH
• Donna Beckett, NP
• Tina Moneak Bell
• Adrian Bennett
• Bridget Sue Bennett
• Cynthia Bennett
• Jeremy Dwayne Bennett
• Maraya Bennett
• Bhasin Prompt Medical Care
• Ram Pal Bhasin, MD

• Nurse Practitioner in Bluefield, WV
• Providers in Bluefield, WV by specialty
• Nurse Practitioner in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.