MR. STEVEN BRIAN BENNETT (NPI# 1407097215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407097215 |
| Entity Type | Individual |
| Full Name | MR. STEVEN BRIAN BENNETT |
| Credential | PA-C |
| Practice Address |
472 Polaris St Bldg 586 Virginia Beach VA 23461-1935 |
| Mailing Address |
639 Corapeake Dr Chesapeake VA 23322-7911 |
| Practice Telephone | 7578620079 |
| Practice Fax Number | 7578620082 |
| Mailing Telephone | 7573731100 |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2020-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1550 Tomcat Blvd, Virginia Beach, VA 234602218 | 7579533864 | 7579533810 |
| 1636 Regulus Ave, Nswdg (n00m), Virginia Beach, VA 234612200 | 7578932026 | 7574928409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073023347 | Steven Alwyn Bennett | Massage Therapist | 5620 E. Texas Rd., East Texas (macungie), PA 18046 | 2017-10-02 |
| 1790832962 | Steven A Bennett | Specialist/Technologist | 6400 W Price Blvd, North Port, FL 34286-4104 | 2007-01-03 |
| 1487620548 | Steven John Bennett | Podiatrist | 3804 Central Ave, Kearney, NE 68847-8134 | 2006-02-27 |
| 1821061482 | Steven Eric Bennett | Acupuncturist | 3908 Juan Tabo Blvd Ne, Albuquerque, NM 87111-3971 | 2006-02-13 |
| 1013988708 | Steven Wesley Bennett | Specialist | 2414 Pennsylvania Ave, Baltimore, MD 21217-1722 | 2006-01-30 |
| 1881294759 | Steven H Bennett | Technician | 2945 Highway 25, Mandan, ND 58554-8002 | 2020-10-29 |
| 1740800887 | Steven Bennett | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-5040 | 2020-04-18 |
| 1659837029 | Steven Bennett | Social Worker | 1600 7th Ave, Troy, NY 12180-3410 | 2019-02-11 |
| 1730687153 | Steven Gregory Bennett | Physical Therapy Assistant | 5725 Carolina Beach Rd, Wilmington, NC 28412-2611 | 2018-01-31 |
| 1174048748 | Steven Bennett | Counselor | 75 Holly Hill Ln, Greenwich, CT 06830-6098 | 2017-08-04 |
| Street Address |
472 POLARIS ST BLDG 586 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23461-1935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801370382 | Mathieu Cote | Military Health Care Provider | 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 | 2018-09-20 |
| 1366966962 | Owen Wilhelm Horton | Military Health Care Provider | 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 | 2017-07-26 |
| 1205356433 | Nicholas Aaron Kilgore | Military Health Care Provider | 472 Polaris St Bldg 586, Virginia Beach, VA 23461-1935 | 2017-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568841880 | Robert Jadgchew | Specialist/Technologist | 427 Polaris Avenue, Bldg 586, Virginia Beach, VA 23461 | 2015-05-19 |
| 1790925188 | Matthew E Gaffigan | Emergency Medicine | 472 Polaris Blvd, Bldg 586, Virginia Beach, VA 23461 | 2009-02-25 |
| 1740389865 | Naval Medical Center Portsmouth | Military/U.S. Coast Guard Pharmacy | 1185 Terrier Ave, Ste 100, Virginia Beach, VA 23461 | 2006-09-22 |
| 1528209160 | William Joseph Harris Jr. | Military Health Care Provider | 1636 Regulus Ave, Nswdg (n00m), Virginia Beach, VA 23461 | 2009-03-11 |
| 1386844389 | Sean Patrick Miles | Military Health Care Provider | 1636 Regulus Ave, Virginia Beach, VA 23461 | 2007-07-19 |
| 1629090444 | Michele B Olive | Social Worker | 472 Polaris St, Bldg 586, Virginia Beach, VA 23461-1912 | 2006-07-24 |
| 1386019131 | Joseph Biron | Psychologist | 472 Polaris St, Bldg 586, Virginia Beach, VA 23461-1912 | 2015-12-04 |
| 1235101536 | S Scott Olexy | Physician Assistant | 1636 Regulus Ave, Virginia Beach, VA 23461-2200 | 2006-02-02 |
| 1275157745 | Jonathon Daniel Ratkus | Military Health Care Provider | 1636 Regulus Ave, Virginia Beach, VA 23461-2200 | 2020-06-01 |
| 1447677398 | Hoa Tan Tran | Military Health Care Provider | 1636 Regulus Ave, Virginia Beach, VA 23461-2200 | 2014-03-27 |
| Find all providers in zip 23461 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972011609 | Alexis A M Higgins | Physician Assistant | 1168 First Colonial Rd Ste 300, Virginia Beach, VA 23454-2444 | 2018-01-16 |
| 1720506207 | Brad Rivera | Physician Assistant | 1090 Farrar St, Virginia Beach, VA 23451-5808 | 2017-09-05 |
| 1386199016 | Zachary Kaplan | Physician Assistant | 2859 Virginia Beach Blvd Ste 100, Virginia Beach, VA 23452-7613 | 2016-08-23 |
| 1326434747 | Catharine White Cartwright | Physician Assistant | 2501 James Madison Blvd, Virginia Beach, VA 23456 | 2015-04-13 |
| 1366682056 | Jessica Lea Simpkins | Physician Assistant | 4092 Foxwood Drive, Suite 101, Virginia Beach, VA 23462 | 2009-02-20 |
| 1578602017 | Mary Jo Dougherty | Physician Assistant | 1133 First Colonial Rd, Virginia Beach, VA 23454-2402 | 2007-02-05 |
| 1689770323 | Catherine F Walgren | Physician Assistant | 4536 Bonney Rd, Virginia Beach, VA 23462-3818 | 2006-09-16 |
| 1164487393 | Mindy Ann Siyufy | Physician Assistant | 968 First Colonial Rd, Suite101, Virginia Beach, VA 23454-3171 | 2006-04-19 |
| 1912971201 | Richard Ryan Crooks | Physician Assistant | 5486 Indian River Rd, Virginia Beach, VA 23464-5365 | 2006-02-14 |
| 1417934209 | David P Day | Physician Assistant | 1028 Bells Rd Ste 113, Virginia Beach, VA 23451-5845 | 2005-12-22 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23461 |
Please comment or provide details below to improve the information on MR. STEVEN BRIAN BENNETT.
| 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.