Thomas Alan Bender, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110840152 Issued in VA

Practice address

11835 Fishing Point Dr
Suite 104
Newport News, VA 23606-2584

Phone

(757) 599-5588

Fax

(757) 599-6893

NPI assigned

May 3, 2006

Last updated

Mar 11, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christopher Medical Group

  • Family Medicine Physician
  • Hampton, VA
  • NPI 1164477634
  NPD (past)
• James River Family Practice, LLC

  • Family Medicine Physician
  • Newport News, VA
  • NPI 1811914872
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299801600000",
    "number": "1407814833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 FISHING POINT DR",
            "address_2": "SUITE 104",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062584",
            "telephone_number": "757-599-5588",
            "fax_number": "757-599-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 FISHING POINT DR",
            "address_2": "SUITE 104",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236062584",
            "telephone_number": "757-599-5588",
            "fax_number": "757-599-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "THOMAS",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2011-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110840152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407814833",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beltone Ledford Hearing Aid Service & Audiology
• Kamel Ben-Othmane, MD
• Franklin Benjamin Benabise Jr.
• Tia Alexandria Benbow, SF
• Nadia Laszig Bender, LCSW
• Claudiu E Bene, M.D.
• Judith Bengson, FNP-BC
• Benjamin T. Watson, III, DDS, PLC
• Benjamin T. Watson, III, DDS, PLC (a division of Atlantic Dental Care)
• Jasmine Tydreya Benjamin

• Medical Physician Assistant in Newport News, VA
• Providers in Newport News, 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 Mar 11, 2011; 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.