Active NPI
William A Bennett, DPM
- Podiatrist
- North Bend, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DP00270
- Practice address
- 2085 Inland Dr
Suite B
North Bend, OR 97459-1203 - Phone
- (541) 756-3332
- Fax
- (541) 756-2370
- NPI assigned
- Jan 11, 2007
- Last updated
- Oct 3, 2022
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | P000000561 | WA | |
| Podiatrist | 213E00000X | DP00270 | OR | Primary |
Addresses
Primary practice location
2085 Inland Dr
Suite B
North Bend, OR 97459-1203
Mailing address
2085 Inland Dr
Suite B
North Bend, OR 97459-1203
Phone (541) 756-3332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110222000957 | OR | DME Supplier - Physician - Podiatry | 1759562812 | Practice locations: North Bend, OR |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2085 Inland Dr
Suite B
North Bend, OR 97459-1203
Phone (541) 756-3332
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.84 of 100
- Quality
- 53.7
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 66 |
| Removal of nail tissue | 2451 |
| Removal or shaving of skin growth | 1184 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P000000561 | WA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Coast Podiatry, LLC | Podiatrist | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/7006/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Reedsport, OR
- NPI 1003874819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1407906654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2085 INLAND DR",
"address_2": "SUITE B",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974591203",
"telephone_number": "541-756-3332",
"fax_number": "541-756-2370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2085 INLAND DR",
"address_2": "SUITE B",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974591203",
"telephone_number": "541-756-3332",
"fax_number": "541-756-2370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "WILLIAM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "WA",
"license": "P000000561",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OR",
"license": "DP00270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.