John P Bennett, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

26479 Issued in IA

Practice address

501 S White St
Suite One
Mt Pleasant, IA 52641-2600

Phone

(319) 385-6700

Fax

(319) 385-6703

NPI assigned

Oct 31, 2006

Last updated

Oct 12, 2007By the provider in NPPES

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192147200000",
    "number": "1275619298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S WHITE ST",
            "address_2": "SUITE ONE",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412600",
            "telephone_number": "319-385-6700",
            "fax_number": "319-385-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S WHITE ST",
            "address_2": "SUITE ONE",
            "city": "MT PLEASANT",
            "state": "IA",
            "postal_code": "526412600",
            "telephone_number": "319-385-6700",
            "fax_number": "319-385-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "JOHN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "26479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010124",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arhc Spplsia01 TRS, LLC (Addington Place of Mt. Pleasant)
• Aspire Integrated Medical, PLLC
• Jenny Marie Atencio, MA MFT
• Thomas Bainbridge, M.D.
• Jayant V Belsare, MD
• Erin Katherine Bietz
• Mitchell Boeck, COTA
• Melissa Boncher, MS RD CD
• Kendra M Bonnesen, ARNP, FNP-C
• Mandy Borchers, MS, ATC, CSCS

• Internal Medicine Physician in Mt Pleasant, IA
• Providers in Mt Pleasant, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.