Michael Joe Bennington in San Angelo - Family Medicine
Michael Joe Bennington - NPI 1053375139
Michael Joe Bennington is a Family Medicine in San Angelo, Texas. Michael Joe Bennington practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael Joe Bennington is 1053375139. The last update date is 2021-06-08.
Michael Joe Bennington's current location address is 3502 Knickerbocker Rd, San Angelo, Texas. You can contact this provider via phone number 3256581511 and fax number 3254812166. The mailing address for Michael Joe Bennington is 3502 Knickerbocker Rd, San Angelo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Joe Bennington |
|---|---|
| Address | 3502 Knickerbocker Rd, San Angelo, Texas |
| Phone Number | 3256581511 |
| Fax Number | 3254812166 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1053375139 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2021-06-08 |
Provider Mailing Address Detail
| Address | 3502 Knickerbocker Rd |
|---|---|
| City | San Angelo |
| State | Texas (TX) |
| Post Code | 769047671 |
| Phone Number | 3256581511 |
| Fax Number | 3254812166 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | M3156 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BCBS | TX | 8DG086 |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Joe Bennington by the Centers for Medicare & Medicaid Services?
The Michael Joe Bennington has been issued the NPI (National Provider Identifier) 1053375139, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Michael Joe Bennington is physically located?
The Michael Joe Bennington is situated at the following address: 3502 Knickerbocker Rd, San Angelo, TX 769047671.
What is Michael Joe Bennington's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Joe Bennington's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date was the 1053375139 assigned to Michael Joe Bennington?
The Michael Joe Bennington was issued its 1053375139 on 2006-04-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Michael Joe Bennington, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Michael Joe Bennington, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-06-08.