Brian Lee Bennett, DC,DAAPM

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

2954 Issued in OH

Practice address

5445 Detroit Rd
Suite 201
Sheffield Village, OH 44054

Phone

(440) 240-9111

Fax

(440) 934-5459

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Brian Lee Bennett Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982636627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 DETROIT RD",
            "address_2": "SUITE 201",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "44054",
            "telephone_number": "440-240-9111",
            "fax_number": "440-934-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 DETROIT RD",
            "address_2": "SUITE 201",
            "city": "SHEFFIELD VILLAGE",
            "state": "OH",
            "postal_code": "44054",
            "telephone_number": "440-240-9111",
            "fax_number": "440-934-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DC,DAAPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "OH",
            "license": "2954",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2290051",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000324155",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "BENNETT",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "DC,DAAPM",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Melissa Ann Balogh, M.S., R.D., L.D.
• Lisa Marie Barto, P.C.
• Brendan W Bauer, MD
• Mark D Bej, MD
• Alexandra Elizabeth Below, D.O.
• Robert Jon Berkowitz, MD
• Rebecca Terese Biro, OT
• Mary Carpenter Boia, M.A.CCC-SLP
• Brittney Renee Bolton, DPM
• Bonnie Stamatis, MD Inc

• Occupational Health Chiropractor in Sheffield Village, OH
• Providers in Sheffield Village, OH by specialty
• Occupational Health Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.