Steven Brian Bennett, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

472 Polaris St BLDG 586
Virginia Beach, VA 23461-1935

Phone

(757) 862-0079

Fax

(757) 862-0082

NPI assigned

Mar 9, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1407097215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 CORAPEAKE DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227911",
            "telephone_number": "757-373-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 POLARIS ST BLDG 586",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234611935",
            "telephone_number": "757-862-0079",
            "fax_number": "757-862-0082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Tomcat Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234602218",
            "country_code": "US",
            "telephone_number": "757-953-3864",
            "fax_number": "757-953-3810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "STEVEN",
        "middle_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael B. Bennett, MD
• Natalya Desiree Bennett
• Sarah Nicole Bennett, LPC
• Sharif Bennett, REGISTERED NURSE
• Stefanie Bennett, OTR/L
• Tonya Bennett, LCSW
• Tori Benoit, OTR/L
• Ashley Marie Benshoff, M.S. OTR/L
• Kimberly Bensie, SOCIAL WORK
• Kimberly Ann Benson, DDS

• Medical Physician Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.