Joel Reed Bender, MD

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

4301082927 Issued in MI

Practice address

300 Renaissance Drive
MC 482-C10-092
Detroit, MI 48265

Phone

(313) 665-1642

NPI assigned

Jul 27, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1528299468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47970 RAVELLO CT",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481679821",
            "telephone_number": "313-665-1642",
            "fax_number": "313-665-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 RENAISSANCE DRIVE",
            "address_2": "MC 482-C10-092",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48265",
            "telephone_number": "313-665-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "JOEL",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MI",
            "license": "4301082927",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "35059559B",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TN",
            "license": "MD0000014318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Lynn Benacquisto, RN BSN OCN
• Paige Benard
• Ronald Benbow, ACSM-CEP
• Ilyes Benchaala, MD
• Dalton Bender, DNP, FNP-C
• Sarah Bendit
• Elizabeth M Bendure, LPC
• Joan Frances Benedetti, NP
• Melissa Benedict
• Brian Anthony Benenati, M.D.

• Occupational Medicine Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• Occupational Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.