Oliver Moses Bennett, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D0052883 Issued in MD

Practice address

1111 Spring St
Silver Spring, MD 20910-4003

Phone

(301) 562-7764

Fax

(301) 562-0884

NPI assigned

Mar 8, 2006

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

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Spring Family Medical Center P.C.

  • Family Medicine Physician
  • Silver Spring, MD
  • NPI 1821233487

  DC

  Medicare reassignment NPD Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1467429415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 SPRING ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104003",
            "telephone_number": "301-562-7764",
            "fax_number": "301-562-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 SPRING ST",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209104003",
            "telephone_number": "301-562-7764",
            "fax_number": "301-562-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "OLIVER",
        "middle_name": "MOSES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0052883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Iesha Bennett
• Colota Bennett
• Duane Everett Bennett II, DDS
• Kami Mae Bennett, OTR/L
• Melanie Bennett
• Shaiann Bennett
• Sheila Jo Bennett, CNM
• Thyra Jackson Benoit, LCSW-C, LICSW
• Shewaye Serbesa Benti
• Bentilda Healthcare Services

• Family Medicine Physician in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.

Verify at the official NPI Registry.