Individual provider Active NPI

Paul Scott Bennett, MD

  • Otolaryngology Physician
  • Burlington, NC
National Provider Identifier
1801884341
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
9800191 Issued in NC
Practice address
4030 Oaks Professional Pkwy Ste 201
Burlington, NC 27215-8491
Phone
(336) 226-0660
Fax
(336) 227-6327
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 9800191 NC Primary

Addresses

Primary practice location

4030 Oaks Professional Pkwy Ste 201
Burlington, NC 27215-8491

Mailing address

PO Box 2
Burlington, NC 27216-0002
Phone (336) 226-0660

Other identifiers 9

IdentifierTypeStateIssuer
11358OtherNCBCBS
263050OtherWELLPATH
24244OtherMEDICARE PARTNERS
891127UMedicaidNC
G67820OtherMAMSI
3681525OtherCIGNA
P00226808OtherRAILROAD MEDICARE
1000405OtherNCUNITED HEALTHCARE
D9835OtherMEDCOST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050131000987 NC Practitioner - Otolaryngology 5294785838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of North Carolina at Chapel Hill School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamance Ear Nose and Throat LLPGroup PAC ID 1355391566, 13 clinicians

Practice addresses (Care Compare)

4030 Oaks Professional Pkwy
Suite 201
Burlington, NC 27215-8491
Phone (336) 226-0660

Hospital & facility affiliations

  • Alamance Regional Medical Center Hospital, Burlington, NC, CCN 340070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9800191NCMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alamance Ear Nose and Throat, LLP Otolaryngology CurrentSince Jan 31, 2005 Accepting new patients
Duke Health Integrated Practice, Inc. Past Accepting new patients
ENT Carolina PA Past Accepting new patients
North Carolina Eye Ear Nose & Throat PA Otolaryngology PastSince Jun 16, 2006 Accepting new patients
Byrnett Surgical Associates PLLC PastSince Sep 6, 2020 Accepting new patients

Locations

1248 Huffman Mill Rd
Ste 200
Burlington, NC 27215
Phone (336) 226-0660

4030 Oaks Professional Pkwy
Ste 201
Burlington, NC 27215
Phone (336) 226-0660

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1801884341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272160002",
            "telephone_number": "336-226-0660",
            "fax_number": "336-227-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 OAKS PROFESSIONAL PKWY STE 201",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158491",
            "telephone_number": "336-226-0660",
            "fax_number": "336-227-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "PAUL",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "9800191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11358",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLPATH",
            "identifier": "263050",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PARTNERS",
            "identifier": "24244",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891127U",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "G67820",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3681525",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00226808",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1000405",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "D9835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.