Bennie Ray Vincent, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

055466 Issued in GA

Practice address

2080 Chambliss Ave NW
Cleveland, TN 37311-3894

Phone

(423) 472-6219

NPI assigned

May 10, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Cleveland Anesthesiologists Inc

  • Anesthesiology Physician
  • Cleveland, TN
  • NPI 1962483552
  NPD (past)
• Battlefield Anesthesia, Inc

  • Certified Registered Nurse Anesthetist
  • Fort Oglethorpe, GA
  • NPI 1467402610

  Anesthesiology

  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1790734143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 PINE RIDGE RD",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638055",
            "telephone_number": "423-290-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CHAMBLISS AVE NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113894",
            "telephone_number": "423-472-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "BENNIE",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "055466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-GA PROVIDER ID #",
            "identifier": "52153553002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veritas Counseling
• Anthony Jerome Vernon, M. A.
• Mariana Vetrici
• Via Counseling Resources
• Amy Suzanne Villacci, PT, DPT
• John K Vining, LPC, MHSP
• Teresa L Vinson, NP
• Lisa June Virostek, MD
• Timothy Allen Viser, MD
• Camila Isabel Viteri Ricaurte

• Anesthesiology Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Anesthesiology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.