Active NPI
John B. Bentley, M.D.
- Anesthesiology Physician
- Tucson, AZ
National Provider Identifier
1689670523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 11621
- Practice address
- 4620 E Camp Lowell Dr
Tucson, AZ 85712-1296 - Phone
- (520) 618-6058
- Fax
- (520) 325-0963
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 11621 | AZ | Primary |
Addresses
Primary practice location
4620 E Camp Lowell Dr
Tucson, AZ 85712-1296
Mailing address
5949 N Camino del Conde
Tucson, AZ 85718-4311
Phone (520) 299-0397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11621 | AZ | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Pueblo Anesthesia | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1194770768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393804800000",
"number": "1689670523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5949 N CAMINO DEL CONDE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857184311",
"telephone_number": "520-299-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4620 E CAMP LOWELL DR",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121296",
"telephone_number": "520-618-6058",
"fax_number": "520-325-0963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTLEY",
"first_name": "JOHN",
"middle_name": "B.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2014-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "11621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.