Alexander Bennatan – Perfusionist in Nashville, TN

Key facts

NPI: 1982072385
Entity type: Individual (NPI type 1)
Primary specialty: Perfusionist 242T00000X
License: 242T00000X (TN)
Practice address: 320 11TH Ave S
Apt 469
Nashville, TN 37203-4010
Phone: (224) 565-6134
NPI assigned: Sep 2, 2015
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
242T00000X	TN	MD	Perfusionist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Perfusionist	242T00000X	242T00000X	TN	Yes

Addresses

Primary practice location

320 11TH Ave S
Apt 469
Nashville, TN 37203-4010

Mailing address

320 11TH Ave S
Apt 469
Nashville, TN 37203-4010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 2, 2015.

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1982072385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 11TH AVE S",
            "address_2": "APT 469",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 11TH AVE S",
            "address_2": "APT 469",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372034010",
            "telephone_number": "224-565-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNATAN",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": "TN",
            "license": "242T00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

All providers in Nashville, TN · Perfusionist in Tennessee

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2015. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.