DR. KENNETH R. BENNETT MD
NPI 1043254253
Internal Medicine - Cardiovascular Disease in Jackson, MS

Q: What is Kenneth Bennett's NPI number?

The NPI number for Kenneth Bennett is 1043254253. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Q: What is Kenneth Bennett's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Bennett was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 16, 2006

2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGY, JACKSON, MS 39216(601) 984-5678(601) 984-5638 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kenneth R. Bennett Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH R. BENNETT MD (NPI 1043254253) is an individual cardiovascular disease provider in Jackson, Mississippi, licensed in Mississippi (05908) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1043254253

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. KENNETH R. BENNETTCredential: MD

Location Address2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF CARDIOLOGYJackson, MS 39216-4500

Mailing Address2500 North State StreetJackson, MS 39216-4500 · (601) 984-5678 · Fax (601) 984-5638

Phone(601) 984-5678

Fax(601) 984-5638

Sole ProprietorNo

Enumeration DateJune 16, 2006

Last NPPES UpdateJanuary 27, 2016

✔ NPI 1043254253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MS · 05908

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

2500 NORTH STATE STREET, Jackson, MS 39216

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Other Identifiers 8

Medicare UPINB30706MS

OtherP00462157MS · Railroad Medicare Ptan

Medicaid1552470LA

Medicaid00119359MS

Medicare PIN302I067047MS

Medicare PIN512I110050MS

Medicaid180445AL

OtherRR 060049688MS · Railroad

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRADFORD STEELE MARTIN FNP-C

Nurse Practitioner

2500 NORTH STATE STREET, DEPARTMENT OF ORTHOPEDICS
JACKSON, MS 39216

Hinds County (601) 815-3045

EMILY BRUMFIELD NP

Nurse Practitioner (Critical Care Medicine)

2500 NORTH STATE STREET
JACKSON, MS 39216

Hinds County (601) 984-5500

KIMBERLY C. COVINGTON TARVER MD

Internal Medicine (Geriatric Medicine)

2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF GERIATRICS
JACKSON, MS 39216

Hinds County (601) 984-6426

MR. MARCELO EDUARDO RAINS M.D.

Pediatrics

2500 NORTH STATE STREET, UMMC NEONATOLOGY
JACKSON, MS 39216

Hinds County (601) 984-1000

DR. CELSO E. GOMEZ-SANCHEZ MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF ENDOCRINOLOGY
JACKSON, MS 39216

Hinds County (601) 984-5525

MS. CHANDRA ANITA BOSTON C.F.P.M.H.N.P.

Nurse Practitioner (Psychiatric/Mental Health)

2500 NORTH STATE STREET
JACKSON, MS 39216

Hinds County (601) 815-4128

DR. GUY DOUGLAS CAMPBELL MD

Internal Medicine (Pulmonary Disease)

2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE/DIVISION OF PULMONARY
JACKSON, MS 39216

Hinds County (601) 984-5650

DR. MECHERI SUNDARAM M.D.

Psychiatry & Neurology (Neurology)

2500 NORTH STATE STREET
JACKSON, MS 39216

Hinds County (601) 984-5500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Bennett's NPI number?

The NPI number for Kenneth Bennett is 1043254253. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Kenneth Bennett located?

Kenneth Bennett practices at 2500 North State Street Department Of Medicine Division Of Cardiology, Jackson, MS 39216. The listed phone number is (601) 984-5678.

What is Kenneth Bennett's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Kenneth Bennett was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.