Keith Wilkinson Bennert, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

36652 Issued in NC

Practice address

2000 Neuse Blvd
New Bern, NC 28560-3449

Phone

(252) 637-9298

Fax

(252) 633-8941

NPI assigned

Feb 27, 2006

Last updated

Jan 15, 2008By the provider in NPPES

Sex

Male

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Craven Pathology Associates Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • New Bern, NC
  • NPI 1376519512
  Authorized official Same address or phone
• Carolinaeast Medical Center

  • Prosthetic/Orthotic Supplier
  • New Bern, NC
  • NPI 1427084680
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1932175163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100559",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295010559",
            "telephone_number": "843-664-4300",
            "fax_number": "843-664-4308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603449",
            "telephone_number": "252-637-9298",
            "fax_number": "252-633-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNERT",
        "first_name": "KEITH",
        "middle_name": "WILKINSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NC",
            "license": "36652",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "36652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8914895",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GRP #",
            "identifier": "01078",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelbi Belokur
• Beloved Therapy Services PLLC
• Jeffrey Nathaniel Beltz
• Benchmark Physical Therapy of NC, LLC
• Benchmark Physical Therapy of NC, LLC
• Andrea P. Bennett
• Sandra O Bennett, NP-C
• Elizabeth A Benson, MD
• Elizabeth Benton
• Margaret Berger, OTD, OTR/L

• Anatomic Pathology & Clinical Pathology Physician in New Bern, NC
• Providers in New Bern, NC by specialty
• Anatomic Pathology & Clinical Pathology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.