Active NPI
Gale L Bentz, PA-C
- Physician Assistant
- Lewes, DE
National Provider Identifier
1528025491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
- gbentz@cmg.emadirect.md
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | DE | Primary |
Addresses
NPPES NPI RegistryPrimary 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.