Individual provider Active NPI

Bennitt C Patterson, D.C.

  • Chiropractor
  • Chiefland, FL
National Provider Identifier
1992770846
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH6495 Issued in FL
Practice address
2010 N Young Blvd
Chiefland, FL 32626-1951
Phone
(352) 493-1540
Fax
(352) 493-1628
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2010 N Young Blvd
Chiefland, FL 32626-1951
Phone (352) 493-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111205000873 FL Practitioner - Chiropractic 0345415295 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bennitt Patterson PA Chiropractor CurrentSince Oct 1, 1990 Accepting new patients

Locations

2010 N Young Blvd
Chiefland, FL 32626
Phone (352) 463-2374

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH6495 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

2010 N Young Blvd
Chiefland, FL 32626-1951

Mailing address

PO Box 1027
Chiefland, FL 32644-1027
Phone (352) 493-1540

Other practice location 1

2220 N Young Blvd
Chiefland, FL 32626-1956
Phone (352) 493-1540

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
380023700MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1992770846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326441027",
            "telephone_number": "352-493-1540",
            "fax_number": "352-493-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 N YOUNG BLVD",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326261951",
            "telephone_number": "352-493-1540",
            "fax_number": "352-493-1628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 N Young Blvd",
            "address_purpose": "LOCATION",
            "city": "Chiefland",
            "state": "FL",
            "postal_code": "326261956",
            "country_code": "US",
            "telephone_number": "352-493-1540",
            "fax_number": "352-493-1628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "BENNITT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH6495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380023700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chiefland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.