Individual provider Active NPI

Gale L Bentz, PA-C

  • Physician Assistant
  • Lewes, DE
National Provider Identifier
1528025491
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
17005 Old Orchard Rd Ste 201
Lewes, DE 19958-4828
Phone
(302) 703-4025
Fax
(302) 703-4027
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: gbentz@cmg.emadirect.md

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X DE Primary

Addresses

NPPES NPI Registry

Primary practice location

17005 Old Orchard Rd Ste 201
Lewes, DE 19958-4828

Mailing address

17005 Old Orchard Rd
Lewes, DE 19958-4828
Phone (302) 703-4025

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2021.

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1528025491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17005 OLD ORCHARD RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584828",
            "telephone_number": "302-703-4025",
            "fax_number": "302-703-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17005 OLD ORCHARD RD STE 201",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584828",
            "telephone_number": "302-703-4025",
            "fax_number": "302-703-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTZ",
        "first_name": "GALE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.