Albert Buren Bennett, D.C.
Individual provider Active NPI Chiropractor · Buford, GA
NPI 1851332985 · NPPES record last updated Jan 29, 2009
Key facts
- NPI
- 1851332985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2930 (GA)
- Practice address
- 1675 Heraeus Blvd
Buford, GA 30518-3383 - Phone
- (770) 271-9355
- Fax
- (770) 932-1277
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1675 Heraeus Blvd
Buford, GA 30518-3383
Phone (770) 271-9355
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081105000374 | GA | Practitioner - Chiropractic | 8921167982 | Practice locations: Buford, GA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2930 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paula Elliott DC PC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2930 | GA | Yes |
Addresses
Primary practice location
1675 Heraeus Blvd
Buford, GA 30518-3383
Mailing address
1675 Heraeus Blvd
Buford, GA 30518-3383
Phone (770) 271-9355
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.