Individual provider Active NPI

Bennett Bird, DO

  • Internal Medicine Physician
  • Porterville, CA
National Provider Identifier
1962071290
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20384 Issued in CA
Practice address
465 W Putnam Ave
Porterville, CA 93257-3320
Phone
(559) 784-1110
NPI assigned
Jun 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20384 CA Primary

Addresses

Primary practice location

465 W Putnam Ave
Porterville, CA 93257-3320

Mailing address

465 W Putnam Ave
Porterville, CA 93257-3320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230609000613 CA Practitioner - General Practice 1355708116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Docs PCGroup PAC ID 0547626871, 181 clinicians
Long Term Care Medical Group, IncGroup PAC ID 9032016068, 37 clinicians

Practice addresses (Care Compare)

1011 W Tulare Rd
Lindsay, CA 93247-1471
Phone (609) 585-1122

1925 E Houston Ave
Visalia, CA 93292-2345
Phone (559) 732-1020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20384CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care Medical Group, Inc Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
First Docs PC Internal Medicine CurrentSince Mar 12, 2025 Accepting new patients
National Health Rehabilitation LLC Past Accepting new patients

Locations

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 274-6444

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

1011 W Tulare Rd
Lindsay, CA 93247
Phone (559) 562-0055

1925 E Houston Ave
Visalia, CA 93292
Phone (559) 732-1020

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1962071290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573320",
            "telephone_number": "559-784-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "BENNETT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.