DR. BRANDON MARK BENNETT (NPI# 1295129757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295129757 |
| Entity Type | Individual |
| Full Name | DR. BRANDON MARK BENNETT |
| Credential | MD |
| Practice Address |
985640 Nebraska Medical Ctr Omaha NE 68198 |
| Mailing Address |
985640 Nebraska Medical Ctr Omaha NE 68198-5640 |
| Practice Telephone | 4025592258 |
| Practice Fax Number | 4025592575 |
| Mailing Telephone | 4025592258 |
| Mailing Fax Number | 4025592575 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2018-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11100 Euclid Ave, Cleveland, OH 441061716 | 2168441000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447570809 | Brandon Bruce Bennett | Physical Therapist | 7605 38th Ct Se, Lacey, WA 98503-4804 | 2010-06-08 |
| 1619478146 | Brandon Lee Bennett | Counselor | 1443 N Robberson Ave, Springfield, MO 65802-3840 | 2018-02-21 |
| 1609017490 | Brandon Keith Bennett | Dentist | 202 N Maple St, Eldon, MO 65026-1776 | 2009-03-09 |
| Street Address |
985640 NEBRASKA MEDICAL CTR |
| City | OMAHA |
| State | NE |
| Zip Code | 68198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295396570 | Erik Scott Moore | Orthopaedic Surgery | 985640 Nebraska Medical Ctr, Omaha, NE 68198-5640 | 2019-06-26 |
| 1437710100 | John Werner | Orthopaedic Surgery | 985640 Nebraska Medical Ctr, Omaha, NE 68198-5640 | 2019-06-24 |
| 1073173290 | John Hamilton Rosenberg IIi | Orthopaedic Surgery | 985640 Nebraska Medical Ctr, Omaha, NE 68198-5640 | 2019-06-19 |
| 1962062828 | Neil Antonson | Orthopaedic Surgery | 985640 Nebraska Medical Ctr, Omaha, NE 68198-5640 | 2019-06-13 |
| 1871157107 | Matthew Hays | Orthopaedic Surgery | 985640 Nebraska Medical Ctr, Omaha, NE 68198-5640 | 2019-04-22 |
| 1689168932 | Erin Stockwell | Orthopaedic Surgery | 985640 Nebraska Medical Ctr, Omaha, NE 68198-5640 | 2018-06-20 |
| 1376037895 | Mark Jeyaseelan Amirtharaj | Orthopaedic Surgery | 985640 Nebraska Medical Ctr, Omaha, NE 68198-5640 | 2018-06-18 |
| 1295229078 | Charles John Hansen | Orthopaedic Surgery | 985640 Nebraska Medical Ctr, Omaha, NE 68198-5640 | 2018-06-15 |
| 1457841447 | Matthew Harper Freeman | Orthopaedic Surgery | 985640 Nebraska Medical Ctr, Omaha, NE 68198-5640 | 2018-05-15 |
| 1851812937 | Gordon Glenn Roedel | Orthopaedic Surgery | 985640 Nebraska Medical Ctr, Omaha, NE 68198-5640 | 2017-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881259646 | Grant Saltzgaber | Family Medicine | Unmc Dept. of Family Medicine, 983075 Nebraska Medical Center, Omaha, NE 68198 | 2019-05-07 |
| 1215590468 | Elizabeth Farrell | Counselor | 42nd @ Dewey, Omaha, NE 68198 | 2019-04-15 |
| 1073033981 | Daniel Ryan Mcdonald | Anesthesiology | 984150 Nebraska Medical Center, Omaha, NE 68198 | 2017-06-21 |
| 1194258764 | Bryan Baker | Student in an Organized Health Care Education/Training Program | 986155 Nebraska Medical Ctr, Omaha, NE 68198 | 2017-04-10 |
| 1063862779 | Evin Lackore | Pediatrics | Unmc Pediatrics Residency Program, 982185 Nebraska Medical Center, Omaha, NE 68198 | 2016-06-14 |
| 1710361233 | Rahul Dhawan | Student in an Organized Health Care Education/Training Program | 982265 Nebraska Medical Center, Omaha, NE 68198 | 2015-07-14 |
| 1083029151 | Ashley Nelson | Pediatrics | 982185 Nebraska Medical Center, Omaha, NE 68198 | 2014-06-26 |
| 1013205590 | Urmila Mukherjee | Internal Medicine | 989500 Nebraska Medical Ctr, Omaha, NE 68198 | 2011-07-18 |
| 1184943037 | Melissa Teply | Internal Medicine | 989500 Nebraska Medical Center, Omaha, NE 68198 | 2010-05-18 |
| 1962615047 | Terri Lynn Love | Radiology | Unmc Dept. of Radiology, 42nd & Emile, Omaha, NE 68198 | 2007-05-07 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851902647 | Katia Lira Garcia | Student in an Organized Health Care Education/Training Program | 9153 Black St, Omaha, NE 68122-1823 | 2020-08-13 |
| 1508477589 | Nicole Amato | Student in an Organized Health Care Education/Training Program | 3306 S 52nd St, Omaha, NE 68106-3806 | 2020-08-12 |
| 1790393692 | Akshay Machanahalli Balakrishna | Student in an Organized Health Care Education/Training Program | 7710 Mercy Road, Suite 202 - Cu Department of Internal, Omaha, NE 68124-2353 | 2020-07-16 |
| 1124644703 | Michaelyn Aleah Everhart | Student in an Organized Health Care Education/Training Program | 9885575 Nebraska Medical Center, Omaha, NE 68198-5575 | 2020-06-19 |
| 1043836992 | Glen Sheridan Clinton | Student in an Organized Health Care Education/Training Program | 981150 Nebraska Medical Center Omaha Ne 68198-1150, Omaha, NE 68198-0001 | 2020-06-16 |
| 1548885809 | Adam P Zobel | Student in an Organized Health Care Education/Training Program | 984150 Nebraska Medical Ctr # 5597372, Omaha, NE 68198-4150 | 2020-06-12 |
| 1972127918 | Krysta Mary Sutyak | Student in an Organized Health Care Education/Training Program | 986880 Nebraska Medical Center, Omaha, NE 68198-3280 | 2020-06-05 |
| 1023630209 | Tuan Anh Quang Ta | Student in an Organized Health Care Education/Training Program | 4400 Emile St Rm 3601, Omaha, NE 68198-0600 | 2020-05-11 |
| 1902434186 | Andrew William Enzler | Student in an Organized Health Care Education/Training Program | 623 S 56th St, Omaha, NE 68106-1318 | 2020-04-01 |
| 1952937732 | Ran Jing | Student in an Organized Health Care Education/Training Program | Unmc College of Medicine 985520 Nebraska Medical Center, Omaha, NE 68198-5520 | 2020-03-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.