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Contact Information

BRADLEY P BENNIN, DO
13555 W MCDOWELL RD STE 205
GOODYEAR, AZ85395-2626
 Phone: 623-295-1190
 Fax: 602-429-8595
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BRADLEY P BENNIN · (Male)

NPI Number 1770939845
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/09/2016
Last updated 08/05/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 008427
Hospital affiliation(s)
  • ST JOSEPH'S HOSPITAL AND MEDICAL CENTER - (Acute Care)
    350 WEST THOMAS ROAD
    PHOENIX, AZ 85013
  • WEST VALLEY HOSPITAL - (Acute Care)
    13677 WEST MCDOWELL ROAD
    GOODYEAR, AZ 85395
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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