Active NPI
Freddie James Bennett, MD
- Adult Medicine Physician
- Knoxville, TN
National Provider Identifier
1851353155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 26895
- Practice address
- 2908 Tazewell Pike
Suite a
Knoxville, TN 37918-1878 - Phone
- (865) 688-8999
- Fax
- (865) 688-8090
- NPI assigned
- Apr 4, 2006
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 26895 | TN | Primary |
Addresses
Primary practice location
2908 Tazewell Pike
Suite a
Knoxville, TN 37918-1878
Mailing address
2908 Tazewell Pike
Suite a
Knoxville, TN 37918-1878
Phone (865) 688-8999
Other names 1
- Dr. Fred James Bennett
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26895 | TN | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Center, PC | Adult Medicine | Past | Accepting new patients |
| Mobile Imaging Group, P.C. | Past | Accepting new patients | |
| James H. Lindsay, Jr, M.D., P.C. | Adult Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Adult Medicine Physician
- Knoxville, TN
- NPI 1508969528
-
- Mobile Radiology Clinic/Center
- Maryville, TN
- NPI 1881639516
-
- Adult Medicine Physician
- Knoxville, TN
- NPI 1548388408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1851353155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2908 TAZEWELL PIKE",
"address_2": "SUITE A",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379181878",
"telephone_number": "865-688-8999",
"fax_number": "865-688-8090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2908 TAZEWELL PIKE",
"address_2": "SUITE A",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379181878",
"telephone_number": "865-688-8999",
"fax_number": "865-688-8090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "FREDDIE",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "TN",
"license": "26895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FRED",
"last_name": "BENNETT",
"middle_name": "JAMES",
"prefix": "DR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.