Gary T Benitez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9501491 Issued in NC

Practice address

1766 Connelly Springs Rd
Lenoir, NC 28645-7827

Phone

(828) 728-8224

Fax

(828) 728-1690

NPI assigned

Jun 8, 2006

Last updated

Apr 17, 2018By 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 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Hallmark Family Physicians, Inc.

  • Family Medicine Physician
  • Lenoir, NC
  • NPI 1063427508
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1972543817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 CONNELLY SPRINGS RD",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286457827",
            "telephone_number": "828-728-8224",
            "fax_number": "828-728-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 CONNELLY SPRINGS RD",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286457827",
            "telephone_number": "828-728-8224",
            "fax_number": "828-728-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENITEZ",
        "first_name": "GARY",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9501491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14861",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8914861",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972543817",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• S. Renea Bedard, M.P.T.
• Robert S. Belk, M.D.
• Katrina Brookshire Bell, FNP-C
• Barbara Bellamy
• Beneath the Willow Therapy
• Jennifer Lynn Bennett Williams, FNP
• Christopher Lee Bennett, PHARMD
• Sara Beyer, MD
• Waydell B Bicking
• Bio-Medical Applications of North Carolina, Inc. (Bma Lenoir)

• Family Medicine Physician in Lenoir, NC
• Providers in Lenoir, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.