Active NPI
Marc Robert Bentz, RN
- Certified Registered Nurse Anesthetist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0024186445
- Practice address
- 5 Medical Park Dr
Columbia, SC 29203 - Phone
- (803) 434-3294
- NPI assigned
- Feb 18, 2013
- Last updated
- Jun 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 211511 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 18289 | SC | |
| Certified Registered Nurse Anesthetist | 367500000X | 0024186445 | VA | Primary |
Addresses
Primary practice location
5 Medical Park Dr
Columbia, SC 29203
Mailing address
300 E McBee Ave FL 4
Greenville, SC 29601-2842
Other practice location 1
7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AN2297 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 520-8272
19455 Deerfield Ave
Suite 204
Leesburg, VA 20176-8102
Phone (703) 724-9950
5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 285-2011
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 211511 | SC | MD | Registered Nurse |
| 18289 | SC | MD | Certified Registered Nurse Anesthetist |
| 0024186445 | VA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Current | Accepting new patients | |
| Prisma Health-Midlands | Current | Accepting new patients | |
| Prisma Health-Midlands | Current | Accepting new patients | |
| American Anesthesiology of Virginia PC | Current | Accepting new patients | |
| Dogwood Anesthesia Providers, LLC | Current | Accepting new patients | |
| Palmetto Heatlh | Past | Accepting new patients |
Locations
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
1330 Taylor St
Columbia, SC 29201
Phone (803) 296-5137
5 Richland Medical Park Dr
Ste 470
Columbia, SC 29203
300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
Interoperability endpoints
- mbentz2548243@direct.bsmhealth.org
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1982329900
-
dba Prisma Health Baptist Hospital
- General Acute Care Hospital
- Columbia, SC
- NPI 1205889458
-
- Certified Registered Nurse Anesthetist
- Columbia, SC
- NPI 1205109428
-
dba Prisma Health Richland Hosptial
- General Acute Care Hospital
- Columbia, SC
- NPI 1154373843
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
-
dba Palmetto Health Coulmbia CRNA Services
- Multi-Specialty Clinic/Center
- Coulmbia, SC
- NPI 1013041367
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bon Secours Laboratory Services - Richmond
- Clinical Medical Laboratory
- Richmond, VA
- NPI 1588129480
Hospital
-
dba Bon Secours St Mary's Hospital
- General Acute Care Hospital
- Richmond, VA
- NPI 1962464016
-
dba Bon Secours St. Mary's Hospital Sleep Lab
- Sleep Disorder Diagnostic Clinic/Center
- Mechanicsville, VA
- NPI 1457687543
Hospital
-
dba Bon Secours St. Mary's Hospital Sleep Lab
- Sleep Disorder Diagnostic Clinic/Center
- Midlothian, VA
- NPI 1548596638
Hospital
-
dba Bon Secours St. Mary's Hospital Heart and Vascular Institute
- Cardiac Rehabilitation Clinic/Center
- Richmond, VA
- NPI 1902132095
Hospital
-
dba Bon Secours St. Mary's Hospital Sleep Lab
- Sleep Disorder Diagnostic Clinic/Center
- Richmond, VA
- NPI 1992031348
Hospital
-
dba CJW Medical Center
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1992045660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 E MCBEE AVE FL 4",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296012842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MEDICAL PARK DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29203",
"telephone_number": "803-434-3294"
}
],
"practiceLocations": [
{
"address_1": "7 Independence Pt Ste 300",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296154569",
"country_code": "US",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENTZ",
"first_name": "MARC",
"middle_name": "ROBERT",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-18",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "SC",
"license": "211511",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "18289",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "VA",
"license": "0024186445",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AN2297",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.