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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: August 16, 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
Phone(719) 275-2301
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
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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.

ALAN DONALD CAC II
Counselor (Addiction (Substance Use Disorder))
602 YALE PL
CANON CITY, CO 81212
Fremont County (719) 275-0700
MS. BETTY ANN KRENSON FNP
Nurse Practitioner (Family)
602 YALE PL
CANON CITY, CO 81212
Fremont County (719) 275-2301
GATEWAY TO SUCCESS, PC
Clinic/Center (Mental Health (Including Community Mental Health Center))
602 YALE PL
CANON CITY, CO 81212
Fremont County (719) 275-2301
DAVID W. ANDERSON
Counselor (Mental Health)
602 YALE PL
CANON CITY, CO 81212
Fremont County (719) 275-0700
GATEWAY TO SUCCESS RECOVERY CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
602 YALE PL
CANON CITY, CO 81212
Fremont County (195) 645-0707
GATEWAY TO SUCCESS, PC
Clinic/Center (Mental Health (Including Community Mental Health Center))
602 YALE PL
CANON CITY, CO 81212
Fremont County (719) 275-0700
STEPHANIE WESTBROOK
Counselor (Mental Health)
602 YALE PL
CANON CITY, CO 81212
Fremont County (719) 275-0700
GATEWAY TO SUCCESS, PC
Clinic/Center (Medical Specialty)
602 YALE PL
CANON CITY, CO 81212
Fremont County (719) 275-0700

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 Robert Bennett's NPI number?

The NPI number for Robert Bennett is 1053479402. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Robert Bennett located?

Robert Bennett practices at 602 Yale Pl, Canon City, CO 81212. The listed phone number is (719) 275-2301.

What is Robert Bennett's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Robert Bennett was last updated on April 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.