Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BROCK TANNER BENNETT, MD
ActiveDR. BROCK TANNER BENNETT, MD is a Vascular Surgery healthcare provider located in MEDFORD, Oregon. NPI 1578092193 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · MEDFORD, OR
Registration Details
- NPI Number
- 1578092193
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 7, 2017 (9.2056811809089 yrs)
- Last Updated
- Jul 25, 2024
- Licenses
-
MD218720 (OR)MD218720 (OR)
Practice Information
- Address
-
520 MEDICAL CENTER DR STE 300MEDFORD, OR, 975044316Browse OR providers · Browse ZIP 97504
- Phone
- 5419308907
- Fax
- 5412454820
- Primary Specialty
-
Vascular Surgery
2086S0129X
- Additional Specialty
- Vascular Surgery
- Additional Specialty
- General Surgery
Other Vascular Surgery Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JUAN MANUEL CASTILLO | M.D. | 1609957877 |
| JOHN A SCHWARTZ | MD | 1902984263 |
| DR. AARON WAYNE PARTSAFAS | M.D. | 1578772935 |
| MITCHELL MARTIN PLUMMER | MD | 1457555237 |
| SANDEEP SINGH JHAJJ | M.D | 1174962369 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.