Bentley R McEntire, M.D.
Individual provider Active NPI Hospitalist Physician · Ogden, UT
NPI 1306875489 · NPPES record last updated Jun 2, 2017
Key facts
- NPI
- 1306875489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 5590321-1205 (UT)
- Practice address
- 4401 Harrison Blvd
Ogden, UT 84403-3195 - Phone
- (801) 387-3364
- Fax
- (801) 387-3259
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Hospitalist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
4401 Harrison Blvd
Ogden, UT 84403-3195
Phone (801) 387-2800
Hospital & facility affiliations
- Intermountain Health Hospice - Salt Lake
- Intermountain Health McKay-Dee Hospital
- St. George Regional Hospital
- Intermountain Health Layton Hospital
- Stonehenge of Ogden
- Pine View Transitional Rehab
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040614001519 | UT | Practitioner - Hospitalist |
3375527849 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55903211205 | UT | MD | Internal Medicine Physician |
| 31781 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services Inc | Internal Medicine | Current | Accepting new patients |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
4403 Harrison Blvd
Ste 3875
Ogden, UT 84403
Phone (801) 387-7950
4403 Harrison Blvd
Ste 3430
Ogden, UT 84403
Phone (801) 387-3866
4403 Harrison Blvd
Ste 1670
Ogden, UT 84403
Phone (801) 387-7125
4403 Harrison Blvd
Ste 3630
Ogden, UT 84403
Phone (801) 387-7900
11520 S Redwood Rd
South Jordan, UT 84095
Phone (385) 887-6000
4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 55903211205 | UT | |
| Hospitalist Physician | 208M00000X | 5590321-1205 | UT | Yes |
Addresses
Primary practice location
4401 Harrison Blvd
Ogden, UT 84403-3195
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 387-3364
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.