Organization Active NPI

Gail P. Bender, M.D.,P.a.

  • Medical Oncology Physician
  • St Louis Park, MN
National Provider Identifier
1972690113
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
22924 Issued in MN
Legal business name
GAIL P. BENDER, M.D.,P.A.
Practice address
6490 Excelsior Blvd Ste W106
St Louis Park, MN 55426-4741
Phone
(952) 938-6699
Fax
(952) 938-1906
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Linda Gavitt McKee
Title
Clinic Manager
Phone
(952) 938-6699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RX0202X 22924 MN Primary

Addresses

Primary practice location

6490 Excelsior Blvd Ste W106
St Louis Park, MN 55426-4741

Mailing address

6490 Excelsior Blvd Ste W106
St Louis Park, MN 55426-4741
Phone (952) 938-6699

Other identifiers 3

IdentifierTypeStateIssuer
51065BEOtherMNBLUE CROSS OF MN
HP18158OtherMNHEALTH PARTNERS
36-11092OtherMNMEDICA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972690113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 EXCELSIOR BLVD STE W106",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264741",
            "telephone_number": "952-938-6699",
            "fax_number": "952-938-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 EXCELSIOR BLVD STE W106",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554264741",
            "telephone_number": "952-938-6699",
            "fax_number": "952-938-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAIL P. BENDER, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "GAVITT",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "952-938-6699",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MN",
            "license": "22924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MN",
            "identifier": "51065BE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP18158",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "36-11092",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.