Organization Active NPI

William F Bennett MD PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Sarasota, FL
National Provider Identifier
1275752008
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
WILLIAM F BENNETT MD PA
Practice address
1250 S Tamiami TRL
Suite 303
Sarasota, FL 34239-2221
Phone
(941) 953-5509
Fax
(941) 953-5510
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Dr. William F Bennett, MDNPI 1366537284
Title
President
Phone
(941) 953-5509

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

1250 S Tamiami TRL
Suite 303
Sarasota, FL 34239-2221

Mailing address

1250 S Tamiami TRL
Suite 303
Sarasota, FL 34239-2221
Phone (941) 953-5509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070618000274 FL Part B Supplier - Clinic/Group Practice 9537268420 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Locations

1250 S Tamiami Trl
Ste 303
Sarasota, FL 34239
Phone (941) 953-5509

425 Commercial Ct
Ste K
Venice, FL 34292
Phone (941) 953-5509

1790 E Venice Ave
Ste 102
Venice, FL 34292
Phone (941) 486-8126

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1275752008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S TAMIAMI TRL",
            "address_2": "SUITE 303",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392221",
            "telephone_number": "941-953-5509",
            "fax_number": "941-953-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S TAMIAMI TRL",
            "address_2": "SUITE 303",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342392221",
            "telephone_number": "941-953-5509",
            "fax_number": "941-953-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F BENNETT MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-953-5509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.