Active NPI
Pahl Bench, M.D.
- Family Medicine Physician
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 54939011205
- Practice address
- 589 South State Street
Provo, UT 84606-5056 - Phone
- (801) 429-2000
- Fax
- (801) 429-2001
- NPI assigned
- May 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 54939011205 | UT | |
| Family Medicine Physician | 207Q00000X | 54939011205 | UT | Primary |
Addresses
Primary practice location
589 South State Street
Provo, UT 84606-5056
Mailing address
589 South State Street
Provo, UT 84606-5056
Phone (801) 429-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
589 S State St
Provo, UT 84606-5056
Phone (801) 429-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54939011205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountainlands Community Health Center, Inc. | Family Medicine | Current | Accepting new patients |
| Mountainlands Community Health Center, Inc | Family Medicine | Current | Accepting new patients |
Locations
910 E 100 N
Ste 155
Payson, UT 84651
Phone (801) 465-1890
589 S State St
Provo, UT 84606
Phone (801) 420-2000
Interoperability endpoints
- pahl.bench.1@11721.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Provo, UT
- NPI 1427075134
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Provo, UT
- NPI 1427437144
Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Provo, UT
- NPI 1114025491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716163200000",
"number": "1588877674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "589 SOUTH STATE STREET",
"city": "PROVO",
"state": "UT",
"postal_code": "846065056",
"telephone_number": "801-429-2000",
"fax_number": "801-429-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "589 SOUTH STATE STREET",
"city": "PROVO",
"state": "UT",
"postal_code": "846065056",
"telephone_number": "801-429-2000",
"fax_number": "801-429-2001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENCH",
"first_name": "PAHL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-07",
"last_updated": "2024-05-20",
"certification_date": "2024-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "UT",
"license": "54939011205",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "UT",
"license": "54939011205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.