Christopher Bennett, MD
Individual provider Active NPI Diagnostic Radiology Physician · Harrison, AR
NPI 1851310486 · NPPES record last updated Jan 2, 2014
Key facts
- NPI
- 1851310486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- C6369 (AR)
- Practice address
- 620 N Main St
Harrison, AR 72601-2911 - Phone
- (479) 968-7930
- Fax
- (479) 968-1673
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | C6369 | AR | Yes |
Addresses
Primary practice location
620 N Main St
Harrison, AR 72601-2911
Mailing address
PO Box 9178
Russellville, AR 72811-9178
Phone (479) 968-7930
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105227001 | Medicaid | AR | |
| 50414 | Other | AR | ARKANSAS BCBS PROV# |
Other providers in Harrison, AR
- Baxter Regional Health System
- Baxter Regional Health System
- Laini Marie Beans
- Stephen A. Beeler
- Kristin Beightol
- Bergman School District
- Bergman School District 3
- Rachel May Bertrand
- Tammy Besse
- Andrew Best
All providers in Harrison, AR · Diagnostic Radiology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.