Bradley Paul Bennin, D.O.

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

008427 Issued in AZ

Practice address

13555 W McDowell Rd Ste 205
Goodyear, AZ 85395-2626

Phone

(623) 295-1190

Fax

(602) 429-8595

NPI assigned

May 9, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pain and Palliative Associates of ArizonaGroup PAC ID 9638408487, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sage Hospice and Palliative Care Hospice, Scottsdale, AZ, CCN 031602
• St Josephs Hospital and Medical Center Hospital, Phoenix, AZ, CCN 030024
• Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
• Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119
• Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083
• Banner Ocotillo Medical Center Hospital, Chandler, AZ, CCN 030147

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Pain and Palliative Associates of Arizona

  • Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1538723531
  Medicare reassignment Care Compare group NPD
• Leading Healthcare Specialist PLLC

  • Internal Medicine Physician
  • Peoria, AZ
  • NPI 1497390561

  Hospice and Palliative Medicine

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AZ

  Medicare reassignment NPD

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

• A Servants Heart Hospice LLC

  • Community Based Hospice Care Agency
  • Scottsdale, AZ
  • NPI 1881993970
  Care Compare affiliation
• Banner Desert Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1720011810
  Care Compare affiliation
• Banner Health

  • General Acute Care Hospital
  • Chandler, AZ
  • NPI 1972139004
  Care Compare affiliation
• Dignity Health

  • Emergency Care Clinic/Center
  • Litchfield Park, AZ
  • NPI 1265065445

  Hospital

  Care Compare affiliation
• Dignity Health

  • Emergency Care Clinic/Center
  • Glendale, AZ
  • NPI 1609408665

  Hospital

  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1982733655
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Glendale, AZ
  • NPI 1992131734
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088
  Care Compare affiliation
• VHS Acquisition Subsidiary Number 1 Inc

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1326022732
  Care Compare affiliation

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1770939845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 205",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "623-295-1190",
            "fax_number": "602-429-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD STE 205",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "623-295-1190",
            "fax_number": "602-429-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNIN",
        "first_name": "BRADLEY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "AZ",
            "license": "008427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Belden
• Rebecca Belmes
• Joyce Lucille Benjamin, RN,MSN,FNP-BC
• Michelle L Benjamin, PHARMD
• Toni L Bennalley, L.AC.
• Haley B Berg, PHARMD
• Jared J Berkowitz, M.D.
• Juan Berumen
• Bridget Denise Bethea, NURSE PRACTITIONER
• Paige Elizabeth Bethke, RDN

• Hospice and Palliative Medicine (Family Medicine) Physician in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.

Verify at the official NPI Registry.