Organization Active NPI

Gregory N Bentzel DPM, LLC

  • Podiatrist
  • Greer, SC
National Provider Identifier
1871815308
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
70 Issued in SC
Legal business name
GREGORY N BENTZEL DPM, LLC
Practice address
105 Mimosa Dr
Greer, SC 29650-1737
Phone
(864) 879-3888
Fax
(864) 801-3272
NPI assigned
Feb 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Dr. Gregory N Bentzel, DPM
Title
Owner
Phone
(864) 879-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 70 SC Primary

Addresses

Primary practice location

105 Mimosa Dr
Greer, SC 29650-1737

Mailing address

PO Box 1958
Greer, SC 29652-1958
Phone (864) 879-3888

National Provider Directory

National Provider Directory

Locations

105 Mimosa Dr
Greer, SC 29650
Phone (864) 399-9070

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1871815308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1958",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296521958",
            "telephone_number": "864-879-3888",
            "fax_number": "864-801-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MIMOSA DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501737",
            "telephone_number": "864-879-3888",
            "fax_number": "864-801-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY N BENTZEL DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-25",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "BENTZEL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-879-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "70",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.