Individual provider Active NPI

Donna S Bennett, MD

  • Obstetrics & Gynecology Physician
  • Provo, UT
National Provider Identifier
1801820253
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
188298 Issued in UT
Practice address
585 N 500 W
Provo, UT 84601-1548
Phone
(801) 374-1801
Fax
(801) 216-8357
NPI assigned
Jul 10, 2006
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 188298-1205 UT
Obstetrics & Gynecology Physician 207V00000X 188298 UT Primary

Addresses

Primary practice location

585 N 500 W
Provo, UT 84601-1548

Mailing address

585 N 500 W
Provo, UT 84601-1548
Phone (801) 368-0575

Other names 1

  • Ms. Donna Bennett Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20111102000837 UT Practitioner - Obstetrics/Gynecology 0547433773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical School at Houston, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

585 N 500
Provo, UT 84601-1548
Phone (801) 374-1801

700 W 800
Suite 200
Orem, UT 84057-6316
Phone (801) 374-1801

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
188298UTMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Current Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology CurrentSince Jan 1, 2016 Accepting new patients
Canyon View Medical Group LLC Past Accepting new patients
Valley Obstetrics and Gynecology, P.C. Past Accepting new patients
Valley Obstetrics and Gynecology, PC Obstetrics & Gynecology Past Accepting new patients

Locations

527 W 400 N
Ste 4
Orem, UT 84057
Phone (801) 225-9991

700 W 800 N
Ste 200
Orem, UT 84057
Phone (385) 347-5450

1055 N 300 W
Ste 108
Provo, UT 84604
Phone 8013577377 ext. 3

585 N 500 W
Provo, UT 84601
Phone (801) 374-1801

692 E Market Place Dr
Ste 300
Spanish Fork, UT 84660

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1801820253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011548",
            "telephone_number": "801-368-0575",
            "fax_number": "801-216-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N 500 W",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846011548",
            "telephone_number": "801-374-1801",
            "fax_number": "801-216-8357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "DONNA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "188298-1205",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "UT",
            "license": "188298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "BENNETT",
            "prefix": "MS.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Provo, UT

Sources for this page

Verify at the official NPI Registry.