Individual provider Active NPI

Lawrence William Bender, DO

  • Urology Physician
  • Richlands, VA
National Provider Identifier
1306860804
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0102201959 Issued in VA
Practice address
6719 Gov G C Peery Hwy
Suite 1800
Richlands, VA 24641-2197
Phone
(276) 596-6659
Fax
(276) 596-6658
NPI assigned
Jul 27, 2006
Last updated
May 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0102201959 VA Primary

Addresses

Primary practice location

6719 Gov G C Peery Hwy
Suite 1800
Richlands, VA 24641-2197

Mailing address

6719 Gov G C Peery Hwy
Suite 1800
Richlands, VA 24641-2197
Phone (276) 596-6659

Other identifiers 1

IdentifierTypeStateIssuer
1306860804MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070713000498 VA Practitioner - Urology 5597865949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Midwestern University, Chicago College of Osteopathic Med, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6719 Governor GC Peery Hwy
Suite 2450
Richlands, VA 24641-2486
Phone (276) 596-6786

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102201959VAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinch Professional Physician Services LLC Urology CurrentSince Jul 1, 2016 Accepting new patients
Clinch Professional Physician Services LLC CurrentSince Jul 1, 2016 Accepting new patients

Locations

6719 Governor Gc Peery Hwy
Ste 2450
Richlands, VA 24641
Phone (276) 596-6786

Interoperability endpoints

  • Direct secure messaging: lawrence.bender.1@19847.direct.athenahealth.com
  • Direct secure messaging: lawrence.bender@vab.hcadirect.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1306860804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6719 GOV G C PEERY HWY",
            "address_2": "SUITE 1800",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412197",
            "telephone_number": "276-596-6659",
            "fax_number": "276-596-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6719 GOV G C PEERY HWY",
            "address_2": "SUITE 1800",
            "city": "RICHLANDS",
            "state": "VA",
            "postal_code": "246412197",
            "telephone_number": "276-596-6659",
            "fax_number": "276-596-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "LAWRENCE",
        "middle_name": "WILLIAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "VA",
            "license": "0102201959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306860804",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richlands, VA

Sources for this page

Verify at the official NPI Registry.