Active NPIIndividual provider

Alysha Bennett, MD

Pediatrics in Springfield, Oregon

NPI Number1902217748
Practice location
3377 Riverbend Dr, Springfield, OR 97477-8803
Fax
541-222-6435
Last updated
November 22, 2019

Alysha Bennett, MD is a Pediatrics based in Springfield, OR. Alysha Bennett, MD holds the professional credentials of MD. The NPI number for Alysha Bennett, MD is 1902217748 and holds license No. MD182796 (OR). The current practice location address is 3377 Riverbend Dr, Springfield, OR 97477-8803 and the office can be reached by phone at 541-222-8500 and by fax at 541-222-6435. The NPI was assigned on May 14, 2014 and the record was last updated in NPPES on November 22, 2019.

●Provider Profile Details

NPI Number
1902217748
Provider Name
Alysha Bennett
Credential
MD
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
No
Enumeration Date
May 14, 2014
Last Update Date
November 22, 2019
NPI Status
Active

◉Business Practice Location Address

Address
3377 Riverbend Dr
Springfield, OR 97477-8803
State
Oregon
ZIP
97477-8803
Country
US
Phone Number
541-222-8500
Fax Number
541-222-6435

Get directions →

✉Business Mailing Address

Address
1919 E Thomas RD
Phoenix, AZ 85016-7710
City
Phoenix
State
AZ
ZIP
85016-7710
Phone Number
541-520-8116

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Student in an Organized Health Care Education/Training Program390200000XNo——
Pediatrics208000000XYesMD182796OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Alysha Bennett, MD?

The NPI number of Alysha Bennett, MD is 1902217748. It was assigned on May 14, 2014 and is currently active in the NPPES registry.

What is the specialty of Alysha Bennett, MD?

Alysha Bennett, MD is registered under the primary taxonomy Pediatrics (code 208000000X) and holds license No. MD182796 (OR).

Where does Alysha Bennett, MD practice?

The practice location is 3377 Riverbend Dr, Springfield, OR 97477-8803. The office can be reached at 541-222-8500 (phone) or 541-222-6435 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1902217748 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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