ROBERT JOSEPH BENNETT JR. M.D.
NPI 1053479402
Family Medicine in Canon City, CO

Active since December 05, 2006
602 YALE PL, CANON CITY, CO 81212(719) 275-2301(719) 275-7048 Get Directions Write a Review

NPPES record last updated: April 7, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Robert Joseph Bennett Jr. M.d. NPPES

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

ROBERT JOSEPH BENNETT JR. M.D. (NPI 1053479402) is an individual family medicine provider in Canon City, Colorado, licensed in Colorado (13841) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1053479402
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT JOSEPH BENNETT JR.Credential: M.D.
Location Address602 YALE PLCanon City, CO 81212-4611
Mailing Address602 Yale PlCanon City, CO 81212-4611 · (719) 275-2301 · Fax (719) 275-7048
Fax(719) 275-7048
Sole ProprietorNo
Enumeration DateDecember 5, 2006
Last NPPES UpdateApril 7, 2011
NPI 1053479402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CO · 13841
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

602 YALE PL, Canon City, CO 81212

Other Identifiers 2

Medicare UPINE87825CO
Medicaid01138411CO

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
602 YALE PL
CANON CITY, CO 81212
Nurse Practitioner (Family)
602 YALE PL
CANON CITY, CO 81212
Counselor (Addiction (Substance Use Disorder))
602 YALE PL
CANON CITY, CO 81212
Counselor (Mental Health)
602 YALE PL
CANON CITY, CO 81212
Clinic/Center (Medical Specialty)
602 YALE PL
CANON CITY, CO 81212
Clinic/Center (Mental Health (Including Community Mental Health Center))
602 YALE PL
CANON CITY, CO 81212
Counselor (Mental Health)
602 YALE PL
CANON CITY, CO 81212
Clinic/Center (Mental Health (Including Community Mental Health Center))
602 YALE PL
CANON CITY, CO 81212

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053479402, enumerated as an "individual" on December 05, 2006.

The provider is located at 602 YALE PL CANON CITY, CO 81212 and the phone number is (719) 275-2301.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.