Terry Wayne Bentley, M.D.
Individual provider Active NPI Psychiatry Physician · Jasper, AL
NPI 1508933003 · NPPES record last updated Oct 26, 2020
Key facts
- NPI
- 1508933003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 00016128 (AL)
- Practice address
- 20 Medical Center Dr Ste 300
Jasper, AL 35501-3428 - Phone
- (205) 384-0141
- Fax
- (205) 384-0171
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Alabama School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
20 Medical Ctr Dr
Suite 300
Jasper, AL 35501-3428
Phone (205) 384-0141
20 Medical Ctr Dr
Suite 300
Jasper, AL 35549-3428
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080623000483 | AL | Practitioner - Psychiatry |
1759452568 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00016128 | AL | MD | Psychiatry Physician |
| 16128 | AL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Alabama Psychiatric Services | Current | Accepting new patients | |
| Northwest Alabama Psychiatric Services | Psychiatry | Current |
Accepting new patients |
Locations
3400 Highway 78 E
Ste 200
Jasper, AL 35501
Phone (205) 384-0141
20 Medical Center Dr
Ste 300
Jasper, AL 35501
Phone (205) 221-5374
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 16128 | AL | |
| Psychiatry Physician | 2084P0800X | 00016128 | AL | Yes |
Addresses
Primary practice location
20 Medical Center Dr Ste 300
Jasper, AL 35501-3428
Mailing address
20 Medical Center Dr Ste 300
Jasper, AL 35501-3428
Phone (205) 384-0141
Other providers in Jasper, AL
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- Beaty Drug Company Inc
- Beaty Drug Company, Inc
- Dustin J Beaty
- Courtney Marie Bell
- Abbey Bertoldi
- Kylee Rae Betts
- BHC - Walker Family Practice
- BHC - Walker Imaging
- BHC-Guin
All providers in Jasper, AL · Psychiatry Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.