Michele L Bennett MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MICHELE L BENNETT MD PC

Practice address

248 W Works St
Sheridan, WY 82801-4213

Phone

(307) 673-6100

Fax

(307) 673-1975

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michele L Bennett, MD

Title

Physician/President

Phone

(307) 673-6100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Dawn Elizabeth Sopron, L.C.S.W.

  • Clinical Social Worker
  • Crystal Lake, IL
  • NPI 1932133188
  NPD (past)

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1275716995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 W WORKS ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014213",
            "telephone_number": "307-673-6100",
            "fax_number": "307-673-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 W WORKS ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828014213",
            "telephone_number": "307-673-6100",
            "fax_number": "307-673-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE L BENNETT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "307-673-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "05809001",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stevie Jo Ann Merrill
• Meta Digital Developers LLC (DirectCare AI)
• Jessica Meyer
• Matthew James Meyer, PHARM-D, RPH
• Michael J Strahan MD
• Rhonda Rae Michelena, R.N.
• Michelle L Meehan, DDS
• Millennium Mental Health Concepts LLC
• Jill Miller, O.D.
• Brenton Faulkner Milner, M.D.

• Family Medicine Physician in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Family Medicine Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.