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Contact Information

MATTHEW P BENNETT, MD
2804 DR JOHN HAYNES DR
PELL CITY, AL35125-1438
 Phone: 205-338-6655
 Fax: 205-338-6658
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for MATTHEW P BENNETT · (Male)

NPI # 1144205899
Status Active
Credentials MD
Entity Individual
Enumeration date 12/14/2005
Last updated 05/15/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • AL License # 00015383
  • AL License # 15383
  • AL Medicaid 000046345
  • AL Medicaid 000051302
  • AL Medicaid 051550606
  • AL Medicaid 051557203
  • AL Medicaid 137875
  • AL Other 515-50606 BC BS OF AL
  • AL Other 051051302 BCBS PROVIDER NUMBER
  • AL Other 51046345 BLUE CROSS BLUE SHIELD
  • AL Other 51051302 BLUE CROSS BLUE SHIELD
  • AL Other 51545536 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
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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