Active NPI
Colton Bender, PA
- Physician Assistant
- Martin, SD
National Provider Identifier
1922728500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 102 Major Allen St
Martin, SD 57551-6005 - Phone
- (605) 685-1660
- NPI assigned
- Sep 1, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
102 Major Allen St
Martin, SD 57551-6005
Mailing address
2914 Yale CT
Rapid City, SD 57702-9326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
24276 166TH St
Eagle Butte, SD 57625-8141
2914 Yale CT
Rapid City, SD 57702-9326
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1400 | SD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Butte Indian Health Service Hospital | Current | Accepting new patients | |
| Bennett County Hospital and Nursing Home | Current | Accepting new patients |
Locations
102 Major Allen St
Martin, SD 57551
Phone (605) 685-6622
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Martin, SD
- NPI 1437187044
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
TX
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Public Health or Welfare Agency
- Eagle Butte, SD
- NPI 1558395848
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1922728500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2914 YALE CT",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577029326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MAJOR ALLEN ST",
"city": "MARTIN",
"state": "SD",
"postal_code": "575516005",
"telephone_number": "605-685-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENDER",
"first_name": "COLTON",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-01",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Martin, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.