Individual provider Active NPI

Jeffrey A Bender, M.D.

  • Emergency Medicine Physician
  • Saint Ignace, MI
National Provider Identifier
1881618205
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301074016 Issued in MI
Practice address
220 Burdette St
Saint Ignace, MI 49781-1712
Phone
(906) 643-8585
Fax
(906) 643-0463
NPI assigned
Jul 27, 2006
Last updated
Feb 26, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301074016 MI Primary
Family Medicine Physician 207Q00000X 4301074016 MI

Addresses

Primary practice location

220 Burdette St
Saint Ignace, MI 49781-1712

Mailing address

303 Devon Dr
Saint Louis, MI 48880-9428
Phone (906) 643-8585

Other identifiers 1

IdentifierTypeStateIssuer
4482131MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141212001337 OH Practitioner - Family PracticePractitioner - Emergency Medicine 6406859172 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.54 of 100Reported as group
Quality
81.55
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Emergency Group LLC Emergency Medicine CurrentSince Jul 28, 2022 Accepting new patients
Professional Emergency Physicians PC Emergency Medicine CurrentSince Nov 13, 2024 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Jan 1, 2025 Accepting new patients
Community Hospitals and Wellness Centers CurrentSince Jan 1, 2025 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
Hles of Ohio Inc Emergency Medicine CurrentSince Nov 1, 2014 Accepting new patients
Williams Emergency Group, LLC Emergency Medicine CurrentSince Apr 15, 2019 Accepting new patients
Hles of Ohio, Inc. Emergency Medicine Current Accepting new patients

Locations

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

608 Union Chapel Rd
Fort Wayne, IN 46845
Phone (260) 482-4440

433 W High St
Bryan, OH 43506
Phone (419) 636-1131

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

909 E Snyder Ave
Montpelier, OH 43543
Phone (419) 485-3154

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

Interoperability endpoints

  • Direct secure messaging: jbender92221@direct.parkviewexchange.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1881618205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 DEVON DR",
            "city": "SAINT LOUIS",
            "state": "MI",
            "postal_code": "488809428",
            "telephone_number": "906-643-8585",
            "fax_number": "906-643-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BURDETTE ST",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811712",
            "telephone_number": "906-643-8585",
            "fax_number": "906-643-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301074016",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301074016",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4482131",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Ignace, MI

Sources for this page

Verify at the official NPI Registry.