Bruce Kevin Bennett, MD
Obstetrics & Gynecology in Wayne, NJ. Individual provider (NPI-1).
NPI number1770518441
StatusActive
Last updated in NPPESJul 13, 2009
Details
- NPI
- 1770518441
- Entity type
- Individual (NPI-1)
- Name
- Bruce Kevin Bennett
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 11, 2006
- Last updated
- Jul 13, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 25ma06066100 | NJ | Yes |
Practice location
220 Hamburg TpkeWayne, NJ 07470-2110
Phone 973-790-8090 · Fax 973-790-3198
Mailing address
716 Broad StClifton, NJ 07013-1645
Phone 973-777-1444 · Fax 973-777-4488
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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