NPI 1063723971 · live from the CMS NPI Registry
Matthew Thomas Bennett, M.D.
Radiology, Diagnostic Radiology in Charlotte, NC. National Provider Identifier 1063723971, active.
NPI record
| NPI | 1063723971 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 700 E Morehead St Ste 300, Charlotte, NC 28202 |
| Practice phone | 704-362-5391 |
| Enumerated | June 24, 2010 |
| Last updated | December 20, 2017 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 2014-02268 (NC) |
| Radiology, Diagnostic Radiology | 2085R0202X | 32830 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.