Active NPI
Steven Bennett, DO
- Pain Medicine Physician
- Greenwich, CT
National Provider Identifier
1841291077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 042956
- Practice address
- 5 Perryridge Rd
Greenwich, CT 06830-4608 - Phone
- (203) 863-3448
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042956 | CT | MD | Internal Medicine Physician |
Interoperability endpoints
- sbennett9251@direct.ynhh.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 042956 | CT | |
| Pain Medicine Physician | 208VP0000X | 042956 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5 Perryridge Rd
Greenwich, CT 06830-4608
Mailing address
5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2019.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1841291077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PERRYRIDGE RD",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068304608",
"telephone_number": "203-863-3916",
"fax_number": "203-863-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PERRYRIDGE RD",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068304608",
"telephone_number": "203-863-3448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "STEVEN",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "042956",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CT",
"license": "042956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.