Stephanie B Bennett Dba Rocker Fox Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS0009106L Issued in PA

Legal business name

STEPHANIE B BENNETT DBA ROCKER FOX MEDICAL

Practice address

229 Line Rd
Malvern, PA 19355-3320

Phone

(610) 644-5993

Fax

(610) 407-9045

NPI assigned

Dec 5, 2007

Organization subpart

No

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

Authorized official

Name

Stephanie Bennett, DONPI 1588603641

Title

Owner

Phone

(610) 644-5993

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie B Bennett, D.O.

  • Family Medicine Physician
  • Malvern, PA
  • NPI 1588603641
  NPD (past) Authorized official

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1629250220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 LINE RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553320",
            "telephone_number": "610-644-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 LINE RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553320",
            "telephone_number": "610-644-5993",
            "fax_number": "610-407-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE B BENNETT DBA ROCKER FOX MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-644-5993",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS0009106L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorie Sollenberger, SLP
• Buer Song, M.D.
• Sozen Integrative Health and Wellness LLC
• Specialty Medical Products, Inc.
• Ryan Daniel Staudle, PSY.D.
• Nena Oglesby Stetson, LCSW
• Steven S Shapiro, PH.D., LLC
• Edward B Stier, MA, ATC
• Emily Joy Stone, MS, LPC
• Joseph B Straton, MD

• Family Medicine Physician in Malvern, PA
• Providers in Malvern, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.