Organization Active NPI

Bentley Medical PLLC

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1790919140
Registry record updated Apr 22, 2016
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OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Dec 20, 2020.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
192628 Issued in NY
Legal business name
BENTLEY MEDICAL PLLC
Practice address
9920 4TH Ave
Suite 209
Brooklyn, NY 11209-8333
Phone
(646) 263-8112
Fax
(646) 652-5378
NPI assigned
May 13, 2009
Last updated
Apr 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Bernard Wesley Bentley, MD
Title
MD
Phone
(646) 263-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 192628 NY Primary

Addresses

Primary practice location

9920 4TH Ave
Suite 209
Brooklyn, NY 11209-8333

Mailing address

6 Whalerock Rd
East Hampton, NY 11937-1156
Phone (646) 263-8112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

800 W Main St
Ste 208
Freehold, NJ 07728
Phone (732) 414-2160

56 Linden St
Hackensack, NJ 07601
Phone (551) 333-3456

1670 E 17th St
Ste 2B
Brooklyn, NY 11229
Phone (646) 502-7447

3131 Kings Hwy
Ste B10
Brooklyn, NY 11234
Phone (347) 462-9292

217 Grand St
Ste 401
New York, NY 10013
Phone (212) 390-1830

6352 Woodhaven Blvd
Rego Park, NY 11374
Phone (718) 205-7171

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1790919140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WHALEROCK RD",
            "city": "EAST HAMPTON",
            "state": "NY",
            "postal_code": "119371156",
            "telephone_number": "646-263-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "address_2": "SUITE 209",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "646-263-8112",
            "fax_number": "646-652-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTLEY MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "646-263-8112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "192628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.