Lydia B. Bennett, MD
Individual provider Active NPI Family Medicine Physician · Bedford, NH
NPI 1497744007 · NPPES record last updated Aug 8, 2018
Key facts
- NPI
- 1497744007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 11261 (NH)
- Practice address
- 160 S River Rd
Bedford, NH 03110 - Phone
- (603) 537-1300
- NPI assigned
- Oct 17, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11261 | NH | MD | Family Medicine Physician |
Interoperability endpoints
- lydiabennett@dmcnh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11261 | NH | Yes |
Addresses
Primary practice location
160 S River Rd
Bedford, NH 03110
Mailing address
6 Buttrick Rd Ste 102
Londonderry, NH 03053-3417
Phone (603) 537-1300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30201508 | Medicaid | NH |
Other providers in Bedford, NH
- Nancy A. Belliveau
- Cindy Bello
- Kelly Ann Belviso
- Benchmark Arbors of Bedford LLC
- Jessica Bennett
- Bentley Senior Living, LLC
- Jennifer Lee Berard
- Eugene Elliot Berg
- Christina Berge
- Lisa Berge
All providers in Bedford, NH · Family Medicine Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.