Active NPI
Christopher Joseph Bennett, M.D.
- Diagnostic Radiology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 71439
- Practice address
- 9200 W Wisconsin Ave
Milwaukee, WI 53226 - Phone
- (414) 805-3750
- Fax
- (414) 259-9290
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 105149 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | 0101243375 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 53274 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | 01049476A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | MD443364 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | 71439 | WI | Primary |
Addresses
Primary practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-3750
Other practice location 1
1 Guthrie Sq
Sayre, PA 18840-1625
Phone (570) 887-4000
Other practice location 2
W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060
Other practice location 3
1701 Fond Du Lac Ave
Kewaskum, WI 53040-9129
Phone (262) 626-4616
Other practice location 4
7901 S 6th St
Oak Creek, WI 53154-2010
Phone (414) 346-8000
Other practice location 5
8700 W Watertown Plank Rd
Milwaukee, WI 53226-3595
Phone (414) 805-7100
Other practice location 6
3522 W Lisbon Ave
Milwaukee, WI 53208-1953
Phone (414) 935-8000
Other practice location 7
1905 N Calhoun Rd
Brookfield, WI 53005-5036
Phone (262) 754-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03356576 | Medicaid | NY | |
| 1770511495 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Tulane University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10000 W Bluemound Rd
Wauwatosa, WI 53226-4321
Phone (414) 454-8000
1155 N Mayfair Rd
FL 2
Milwaukee, WI 53226-3462
Phone (414) 955-4263
1905 N Calhoun Rd
Brookfield, WI 53005-5036
2315 E Moreland Blvd
Waukesha, WI 53186-2939
Phone (262) 532-5700
3200 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 836-7300
3212 Pleasant Valley Rd
West Bend, WI 53095-9274
Phone (262) 334-6165
8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666
8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666
W180 N8065 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000
W180N8071 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 253-2700
W180N8085 Town Hall Rd
Suite 301
Menomonee Falls, WI 53051-3518
Phone (262) 257-3200
Hospital & facility affiliations
- Froedtert Memorial Lutheran Hospital
- Community Memorial Hospital
- St Josephs Community Hospital West Bend
- Froedtert Community Hospital
- Ascension Columbia St Marys Hospital Milwaukee
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01049476A | IN | MD | Diagnostic Radiology Physician |
| 105149 | MN | MD | Diagnostic Radiology Physician |
| 0101243375 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C, | Diagnostic Radiology | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Peninsula Radiological Associates Limited | Diagnostic Radiology | Past | Accepting new patients |
Locations
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
132 Colonial Dr
Towanda, PA 18848
Phone (570) 265-6165
1905 N Calhoun Rd
Brookfield, WI 53005
Phone (262) 333-0040
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
1701 Fond du Lac Ave
Kewaskum, WI 53040
Phone (262) 626-4616
3522 W Lisbon Ave
Milwaukee, WI 53208
Phone (414) 935-8000
7901 S 6th St
Oak Creek, WI 53154
Phone (414) 346-8000
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
8700 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 805-7100
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
Interoperability endpoints
- cbennettmd320310@direct.froedtert.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Family Medicine Physician
- Athens, PA
- NPI 1962451153
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Diagnostic Radiology Physician
- Towanda, PA
- NPI 1598892333
-
- Diagnostic Radiology Physician
- Sayre, PA
- NPI 1174575393
-
- Family Medicine Physician
- Towanda, PA
- NPI 1811946304
-
- Diagnostic Radiology Physician
- Newport News, VA
- NPI 1114030426
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
-
- General Acute Care Hospital
- Menomonee Falls, WI
- NPI 1609822881
-
- General Acute Care Hospital
- Oak Creek, WI
- NPI 1134794506
-
- General Acute Care Hospital
- New Berlin, WI
- NPI 1730710898
-
- General Acute Care Hospital
- Pewaukee, WI
- NPI 1740805423
-
- General Acute Care Hospital
- Mequon, WI
- NPI 1902474430
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
-
- General Acute Care Hospital
- West Bend, WI
- NPI 1851336044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1770511495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-3750",
"fax_number": "414-259-9290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53226",
"telephone_number": "414-805-3750",
"fax_number": "414-259-9290"
}
],
"practiceLocations": [
{
"address_1": "1 Guthrie Sq",
"address_purpose": "LOCATION",
"city": "Sayre",
"state": "PA",
"postal_code": "188401625",
"country_code": "US",
"telephone_number": "570-887-4000",
"fax_number": "570-887-5775",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "W168N11237 Western Ave",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "WI",
"postal_code": "530223239",
"country_code": "US",
"telephone_number": "262-253-5060",
"fax_number": "262-532-3467",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 Fond Du Lac Ave",
"address_purpose": "LOCATION",
"city": "Kewaskum",
"state": "WI",
"postal_code": "530409129",
"country_code": "US",
"telephone_number": "262-626-4616",
"fax_number": "262-626-4072",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7901 S 6th St",
"address_purpose": "LOCATION",
"city": "Oak Creek",
"state": "WI",
"postal_code": "531542010",
"country_code": "US",
"telephone_number": "414-346-8000",
"fax_number": "414-346-8010",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8700 W Watertown Plank Rd",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263595",
"country_code": "US",
"telephone_number": "414-805-7100",
"fax_number": "414-805-7171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3522 W Lisbon Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532081953",
"country_code": "US",
"telephone_number": "414-935-8000",
"fax_number": "414-344-0895",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1905 N Calhoun Rd",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "WI",
"postal_code": "530055036",
"country_code": "US",
"telephone_number": "262-754-8000",
"fax_number": "262-780-3396",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENNETT",
"first_name": "CHRISTOPHER",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "105149",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101243375",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "53274",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01049476A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD443364",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "71439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03356576",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1770511495",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.