Fletcher K Bennett-Gayle, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110001514 Issued in VA

Practice address

3742 Winterfield Rd
Midlothian, VA 23113-9238

Phone

(804) 330-3335

Fax

(804) 330-9205

NPI assigned

Jul 14, 2006

Last updated

Dec 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

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  NPD (past)
• Recorian Wellness Services, LLC

  • Adult Medicine Physician
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  • NPI 1982209284
  NPD (past)
• Virginia Emergency Group LLC

  • Emergency Medicine Physician
  • Petersburg, VA
  • NPI 1487816369
  NPD (past)
• Virginia Emergency Physicians LLP

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1134475999
  NPD (past)
• Virginia Emergency Physicians LLP

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1245255264
  NPD (past)
• Virginia Emergency Physicians LLP

  • Emergency Medicine Physician
  • Richmond, VA
  • NPI 1639193188
  NPD (past)
• Virginia Emergency Physicians LLP

  • Emergency Medicine Physician
  • Hopewell, VA
  • NPI 1659396646
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1750307690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 WINTERFIELD RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231139238",
            "telephone_number": "804-330-3335",
            "fax_number": "804-330-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 WINTERFIELD RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231139238",
            "telephone_number": "804-330-3335",
            "fax_number": "804-330-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT-GAYLE",
        "first_name": "FLETCHER",
        "middle_name": "K",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005805",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "MP634",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110001514",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0110001514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Benchmark Physical Therapy of VA, LLC
• Stephen Howard Bendheim, MD
• Emily A Bennett, OD
• Garrison S. Bennett, MD
• Jessica Sanford Bennett
• Lance Bennett, PT, DPT, CSCS
• Katherine Benson

• Physician Assistant in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.