Active NPI
Birger Steven Bentsen, M.D.
- Psychiatry Physician
- Wilmington, NC
National Provider Identifier
1366517153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 28461
- Practice address
- 1908 Meeting CT
Wilmington, NC 28401-6631 - Phone
- (910) 815-0260
- Fax
- (910) 763-3311
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 28461 | NC | |
| Psychiatry Physician | 2084P0800X | 28461 | NC | Primary |
Addresses
Primary practice location
1908 Meeting CT
Wilmington, NC 28401-6631
Mailing address
10741 Trego TRL
Raleigh, NC 27614-9660
Phone (910) 524-7100
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2326986 | Other | NC | GROUP PIN |
| 1790860971 | Other | NC | GROUP NPI |
| 8915073 | Medicaid | NC | |
| 15073 | Other | NC | BLUE CROSS NORTH CAROLINA |
| 2022918 | Other | NC | MEDICARE ID- TYPE UNSPECIFIED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28461 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Psychiatry | Current | Accepting new patients |
| Coastalcare | Past | Accepting new patients |
Interoperability endpoints
- birgerbentsen@tdh.allscriptsdirect.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 and National Provider Directory roles.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychiatry
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1316006075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1366517153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10741 TREGO TRL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276149660",
"telephone_number": "910-524-7100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 MEETING CT",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284016631",
"telephone_number": "910-815-0260",
"fax_number": "910-763-3311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTSEN",
"first_name": "BIRGER",
"middle_name": "STEVEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NC",
"license": "28461",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "28461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PIN",
"identifier": "2326986",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1790860971",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8915073",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NORTH CAROLINA",
"identifier": "15073",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID- TYPE UNSPECIFIED",
"identifier": "2022918",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.