Brenda A Bennett, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

139844 Issued in NY

Practice address

470 Lenox Avenue
Suite #1P
Ny, NY 10037

Phone

(212) 491-9200

Fax

(212) 690-3790

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Trustees of Columbia University in the City of New York

  • Internal Medicine Physician
  • Fort Lee, NJ
  • NPI 1982993184
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851452627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CONVENT AVE",
            "city": "NY",
            "state": "NY",
            "postal_code": "10031",
            "telephone_number": "212-491-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 LENOX AVENUE",
            "address_2": "SUITE #1P",
            "city": "NY",
            "state": "NY",
            "postal_code": "10037",
            "telephone_number": "212-491-9200",
            "fax_number": "212-690-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "BRENDA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "139844",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "39842",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00743568",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0022014",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vesta Bascom, PA
• Rebecca Beatrice Batista, M.D.
• Myrthille Bayard, RN
• Karina Becker, OT
• Annie Benarroch-Kramer, D.D.S.
• Rachel K Berger
• Ira M Bergman, MD
• Lana R Berke
• Jeanette Bernardino-Pascual, RN
• Jeffrey Marc Bernstein, PT

• Internal Medicine Physician in Ny, NY
• Providers in Ny, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.