Anita Boyd Bennett, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

044628 Issued in CT

Practice address

1249 Boulevard
West Hartford, CT 06119-1603

Phone

(860) 216-5442

NPI assigned

Sep 17, 2009

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• St Vincent Physician Clinics LLC

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1134558398
  NPD (past)
• St. Vincent Medical Group

  • Family Medicine Physician
  • Little Rock, AR
  • NPI 1134176480
  NPD (past)

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1598098881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 BOULEVARD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191603",
            "telephone_number": "860-216-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 BOULEVARD",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061191603",
            "telephone_number": "860-216-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "ANITA",
        "middle_name": "BOYD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CT",
            "license": "044628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT CONTROLLED SUBSTANCE REGISTRATION",
            "identifier": "CSP.0046239",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bee Balm Consulting, LLC
• Nicholas John Bellacicco
• Jamie Marie Bellenoit, PHD
• Carly Bendzans, CNM
• Karen Benjamin, L.C.S.W.
• Barbara S Bennett, LMFT
• Evelyn A Benoit, LMFT
• Haille Berger, AUD
• Lisa Berkowitz, M.A.,M.ED.
• Annmarie Bernier, APRN

• Adult Medicine Physician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Adult Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.