Organization Active NPI

Woundology Nevada PLLC

  • Internal Medicine Physician
  • Carson City, NV
National Provider Identifier
1386448751
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WOUNDOLOGY NEVADA PLLC
Practice address
917 Mountain St
Carson City, NV 89703-3819
Phone
(800) 991-7630
NPI assigned
Apr 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Patrick Bengston
Title
Ceo
Phone
(727) 214-4622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

917 Mountain St
Carson City, NV 89703-3819

Mailing address

8924 Arabella LN
Seminole, FL 33777-2649
Phone (727) 214-4622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250612002499 NV Part B Supplier - Clinic/Group Practice 7416468921 Receives reassigned benefits from 1 practitioner
Practice locations: Carson City, NV
O20251028003653 NV Part B Supplier - Clinic/Group Practice 0143719310 Receives reassigned benefits from 3 practitioners
Practice locations: Carson City, NV

National Provider Directory

National Provider Directory

Locations

917 Mountain St
Carson City, NV 89703
Phone (775) 515-0100

Practitioners & affiliated clinicians

Practitioners 3

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": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1386448751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8924 ARABELLA LN",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337772649",
            "telephone_number": "727-214-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033819",
            "telephone_number": "800-991-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUNDOLOGY NEVADA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "BENGSTON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-214-4622"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.