Laura L Bennett, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

L6287 Issued in TX

Practice address

1665 Antilley Rd
Ste 285
Abilene, TX 79606-5265

Phone

(325) 793-5128

Fax

(325) 793-5139

NPI assigned

Apr 25, 2007

Last updated

Dec 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

University of California, San Diego School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group West Texas, PLLCGroup PAC ID 5597747378, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Privia Medical Group West Texas, PLLC

  dba Abilene Diagnostic Clinic, PLLC

  • Specialist
  • Abilene, TX
  • NPI 1346242567
  Medicare reassignment Care Compare group NPD
• Privia Medical Group West Texas, PLLC

  dba Abilene Diagnostic Clinics

  • Podiatrist
  • Abilene, TX
  • NPI 1043725062
  NPD
• Glen Rose Medical Foundation

  dba Glen Rose Medical Center

  • Certified Registered Nurse Anesthetist
  • Glen Rose, TX
  • NPI 1992749857
  NPD (past)
• Glen Rose Medical Foundation Inc.

  dba Glen Rose Medical Center

  • Emergency Medicine Physician
  • Glen Rose, TX
  • NPI 1639292964
  NPD (past)
• Privia Medical Group West Texas, PLLC

  • Pathology Specialist/Technologist
  • Abilene, TX
  • NPI 1760482665
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hendrick Medical Center

  • General Acute Care Hospital
  • Abilene, TX
  • NPI 1528064649
  Care Compare affiliation

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1548489677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5409",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796085409",
            "telephone_number": "325-793-5128",
            "fax_number": "325-793-5139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 ANTILLEY RD",
            "address_2": "STE 285",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065265",
            "telephone_number": "325-793-5128",
            "fax_number": "325-793-5139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "L6287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Suzann Benavides
• Skyy Benavides
• Valerie Benavides
• Brenda K Bender, PH.D., CCC/SLP
• Connie Young Benfield, PHD ABPP
• Heidi Benson, RN MSN FNP-BC
• Misty Michelle Benton, M.S CCC/SLP
• Lauren Christine Bernal
• Lesley Lynnell Berry, O.T.R.
• Travis Berry, PA

• Plastic Surgery Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.