Active NPI
Erwin Bennett, M.D.
- Orthopaedic Surgery Physician
- Milton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD 35119
- Practice address
- 6007 Berryhill Rd
Milton, FL 32570-4008 - Phone
- (334) 274-9000
- Fax
- (334) 274-0857
- NPI assigned
- May 20, 2010
- Last updated
- Sep 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD 35119 | AL | Primary |
Addresses
Primary practice location
6007 Berryhill Rd
Milton, FL 32570-4008
Mailing address
4294 Lomac St
Montgomery, AL 36106-3604
Phone (334) 274-9000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51178870 | Other | AL | BLUE CROSS PROVIDER NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | erwin.bennett@srmcfl.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6007 Berryhill Rd
Milton, FL 32570-4008
Phone (850) 626-7762
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.8 of 100
- Quality
- 77.6
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 16 |
| Removal of tissue | 63 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 35119 | AL | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Rosa Hma Physician Management LLC | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- ebennett@aos1386.srs-direct.com
- erwin.bennett.1@4692.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Milton, FL
- NPI 1447365366
-
- Family Medicine Physician
- Pace, FL
- NPI 1043880347
Orthopaedic Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Santa Rosa Medical Center
- General Acute Care Hospital
- Milton, FL
- NPI 1528015302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1811216518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4294 LOMAC ST",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361063604",
"telephone_number": "334-274-9000",
"fax_number": "334-274-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6007 BERRYHILL RD",
"city": "MILTON",
"state": "FL",
"postal_code": "325704008",
"telephone_number": "334-274-9000",
"fax_number": "334-274-0857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "ERWIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-20",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "AL",
"license": "MD 35119",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBER",
"identifier": "51178870",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "erwin.bennett@srmcfl.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "6007 Berryhill Rd",
"city": "Milton",
"state": "FL",
"country_code": "US",
"postal_code": "325704008",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.