Bennett, Brian Nathan

Bennett, Brian Nathan is an individual health care provider with primary practice located at 1416 Wainbrook Dr , Augusta GA 30909-6289. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Bennett, Brian Nathan can be contacted via phone (706) 312-3668.

Contact Information

Primary practice address
1416 Wainbrook Dr Augusta GA 30909-6289
Phone: (706) 312-3668
Fax: (706) 312-3670
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X POD000842 Georgia

Profile Details

NPI number 1275639692
LBN Legal business name Bennett, Brian Nathan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jun 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275639692 NPPES
Georgia Other 2700070 UNITED HEALTHCARE
Georgia Other 4292280003 UNITED HEALTHCARE
Georgia Other GPD842 UNITED HEALTHCARE
Georgia Other 2592457 UNITED HEALTHCARE
Georgia Other 7052274 UNITED HEALTHCARE
Georgia MEDICAID 00812985B UNITED HEALTHCARE
Georgia Other 7104253 UNITED HEALTHCARE
Georgia MEDICAID 000812985C UNITED HEALTHCARE
Georgia Other 480032159 UNITED HEALTHCARE

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