Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY L BENNETT, MD
ActiveJERRY L BENNETT, MD is a Pediatrics healthcare provider located in WINSTON SALEM, North Carolina. NPI 1750382321 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · WINSTON SALEM, NC
Registration Details
- NPI Number
- 1750382321
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2005 (20.986251301122 yrs)
- Last Updated
- Mar 7, 2023
- License
-
15434 (NC)
Practice Information
- Address
-
2808 MAPLEWOOD AVEWINSTON SALEM, NC, 271034138Browse NC providers · Browse ZIP 27103
- Phone
- 3367659000
- Fax
- 3367655702
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in WINSTON SALEM, NC
| Name | Credential | NPI |
|---|---|---|
| NICOLE J CRAVEN | MD | 1104821644 |
| CHARLES D. BRICKNER | MD | 1912909748 |
| PEGGY A BYUN | MD | 1720080674 |
| MARCELA ISABEL HEINRICH | MD | 1871585083 |
| SHELLEY RAE KREITER | MD | 1255323465 |
| PAMELA SHAREE DOCKERY | MD | 1902899248 |
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.