Dr. Bradley Paul Bennin
Family Doctor - Hospice and Palliative Medicine
13555 W Mcdowell Rd Ste 205
Goodyear
, Arizona 85395-2626
Dr. Bradley Paul Bennin
Family Doctor - Hospice and Palliative Medicine
13555 W Mcdowell Rd Ste 205
Goodyear
, Arizona 85395-2626
(602) 429-8595
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Bradley Paul Bennin
- 13555 W Mcdowell Rd Ste 205
- Goodyear, AZ
- Zip : 85395-2626
- Fax : (602) 429-8595
- Phone : (623) 295-1190
Second Address
- Dr. Bradley Paul Bennin
- 13555 W Mcdowell Rd Ste 205
- Goodyear, AZ
- Zip : 85395-2626
- Fax : (602) 429-8595
- Phone : (623) 295-1190
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 008427 | AZ |
National Provider Identifier
| NPI | 1770939845 |
|---|---|
| Provider Name | Dr. Bradley Paul Bennin |
| First Address | Goodyear, AZ 85395-2626 |
| Second Address | Goodyear, AZ 85395-2626 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/05/2016 |
| Last Update Date | 05/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.