NPI 1821354705 · live from the CMS NPI Registry
Chase Gregory Bennett, MD
Orthopaedic Surgery in Advance, NC. National Provider Identifier 1821354705, active.
NPI record
| NPI | 1821354705 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 152 E Kinderton Way Ste 101, Advance, NC 27006 |
| Practice phone | 704-384-7834 |
| Mailing address | Po Box 60447, Charlotte, NC 28260 |
| Enumerated | April 5, 2012 |
| Last updated | October 20, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 077544 (GA) |
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 207XS0117X | 077544 (GA) |
| Orthopaedic Surgery primary | 207X00000X | 2018-01423 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.