Active NPI
Bender Orthopaedics & Spine Specialist
- Pain Medicine Physician
- Roswell, GA
National Provider Identifier
1972828473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 049787
- Legal business name
- BENDER ORTHOPAEDICS & SPINE SPECIALIST
- Practice address
- 2500 Hospital Blvd
Suite 150
Roswell, GA 30076-4907 - Phone
- (678) 297-7588
- Fax
- (678) 297-7587
- NPI assigned
- Mar 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jay B Bender, M.D.
- Title
- Physician
- Phone
- (678) 297-7588
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 049787 | GA | Primary |
Addresses
Primary practice location
2500 Hospital Blvd
Suite 150
Roswell, GA 30076-4907
Mailing address
2500 Hospital Blvd
Suite 150
Roswell, GA 30076-4907
Phone (678) 297-7588
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269820800000",
"number": "1972828473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 HOSPITAL BLVD",
"address_2": "SUITE 150",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764907",
"telephone_number": "678-297-7588",
"fax_number": "678-297-7587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 HOSPITAL BLVD",
"address_2": "SUITE 150",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764907",
"telephone_number": "678-297-7588",
"fax_number": "678-297-7587"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENDER ORTHOPAEDICS & SPINE SPECIALIST",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-29",
"last_updated": "2010-03-29",
"status": "A",
"authorized_official_last_name": "BENDER",
"authorized_official_first_name": "JAY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "678-297-7588",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "049787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.