National Provider Identifier
Bryan Andrew Bennett, MD
Bryan Andrew Bennett, MD is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Elmira, NY and a listed phone number of (607) 442-1713.
Profile Overview
- NPI
- 1699395145
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- April 24, 2020
- Last Updated
- March 06, 2023
Practice Location
- 600 Roe Ave
- Elmira, NY 14905-1629
Phone: (607) 442-1713
Mailing Address
- 813 Canton St
- Troy, PA 16947-1452
Specialties
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1699395145
- Entity Type
- Individual
- Last Name
- Bennett
- First Name
- Bryan
- Middle Name
- Andrew
- Credential
- MD
- Mailing Street Address
- 813 Canton St
- Mailing City
- Troy
- Mailing State
- PA
- Mailing ZIP Code
- 16947-1452
- Mailing Country
- US
- Mailing Phone
- (801) 520-6994
- Practice Street Address
- 600 Roe Ave
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1629
- Practice Country
- US
- Practice Phone
- (607) 442-1713
- Enumeration Date
- April 24, 2020
- Last Updated
- March 06, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 06, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X)