Active NPI
Leslie M Bennett MD PC
- Family Medicine Physician
- Hillsdale, MI
National Provider Identifier
1346677291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LESLIE M BENNETT MD PC
- Practice address
- 12 E Bacon St
Hillsdale, MI 49242-1616 - Phone
- (517) 437-7040
- Fax
- (517) 437-7617
- NPI assigned
- Oct 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leslie M Bennett, MD
- Title
- President
- Phone
- (517) 425-9274
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
12 E Bacon St
Hillsdale, MI 49242-1616
Mailing address
2861 Lakeview CT
PO Box 821
Hillsdale, MI 49242-9327
Phone (517) 425-9274
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Hillsdale, MI
- NPI 1093713679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381190400000",
"number": "1346677291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2861 LAKEVIEW CT",
"address_2": "PO BOX 821",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "492429327",
"telephone_number": "517-425-9274",
"fax_number": "517-437-7617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 E BACON ST",
"city": "HILLSDALE",
"state": "MI",
"postal_code": "492421616",
"telephone_number": "517-437-7040",
"fax_number": "517-437-7617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LESLIE M BENNETT MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-08",
"last_updated": "2013-10-08",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "517-425-9274",
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsdale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.