NPIMap

Individual provider Active NPI

David J Bencie, MD

  • Internal Medicine Physician
  • Windber, PA
National Provider Identifier
1720070436
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD025803E Issued in PA
Practice address
620 7TH Street
Suite a
Windber, PA 15963
Phone
(814) 467-3400
Fax
(814) 467-1025
NPI assigned
Aug 18, 2005
Last updated
Jul 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD025803E PA Primary

Addresses

Primary practice location

620 7TH Street
Suite a
Windber, PA 15963

Mailing address

620 7TH Street
Suite a
Windber, PA 15963
Phone (814) 467-3400

Other identifiers 1

IdentifierTypeStateIssuer
0008988790001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000588 PA Practitioner - Internal Medicine 9133272107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Temple University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windber Hospital IncGroup PAC ID 9234187576, 37 clinicians
Vantage Physical Therapy and Rehabilitation IncGroup PAC ID 3072424886, 253 clinicians

Practice addresses (Care Compare)

1511 Scalp Ave
Johnstown, PA 15904-3348
Phone (814) 254-4207

336 Bloomfield St
Johnstown, PA 15904-3271
Phone (814) 269-2224

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD025803EPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Residence Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Arbutus Park Manor Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Community Healthcare Operator Inc Past Accepting new patients

Organizations & group practices 7

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1720070436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 7TH STREET",
            "address_2": "SUITE A",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "15963",
            "telephone_number": "814-467-3400",
            "fax_number": "814-467-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 7TH STREET",
            "address_2": "SUITE A",
            "city": "WINDBER",
            "state": "PA",
            "postal_code": "15963",
            "telephone_number": "814-467-3400",
            "fax_number": "814-467-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCIE",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD025803E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008988790001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windber, PA

Sources for this page

Verify at the official NPI Registry.