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Contact Information

KEITH W BENNERT, MD
2000 NEUSE BLVD
NEW BERN, NC28560-3449
 Phone: 252-637-9298
 Fax: 252-633-8941
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for KEITH W BENNERT · (Male)

NPI # 1932175163
Status Active
Credentials MD
Entity Individual
Enumeration date 02/27/2006
Last updated 01/15/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 36652
  • NC Medicaid 8914895
  • Other 01078 BCBS GRP #
Hospital affiliation(s)
  • CAROLINA EAST MEDICAL CENTER - (Acute Care)
    2000 NEUSE BLVD
    NEW BERN, NC 28560
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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