Bennett, Brian Charles

Bennett, Brian Charles is an individual health care provider with primary practice located at 3821 Ed Dr , Raleigh NC 27612-8038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bennett, Brian Charles can be contacted via phone (919) 851-5482.

Contact Information

Primary practice address
3821 Ed Dr Raleigh NC 27612-8038
Phone: (919) 851-5482
Fax: (919) 859-1729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 9500827 North Carolina

Profile Details

NPI number 1891766077
LBN Legal business name Bennett, Brian Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jan 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891766077 NPPES
North Carolina MEDICAID 89133GF
North Carolina Other 14792

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