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BENNIE N TILL MD
NPI 1235118928
Family Medicine in Poplar Bluff, MO

Active since January 11, 2006
686 LESTER ST, POPLAR BLUFF, MO 63901(573) 686-2411(573) 686-8452 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bennie N Till Md NPPES

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

BENNIE N TILL MD (NPI 1235118928) is an individual family medicine provider in Poplar Bluff, Missouri, licensed in Missouri (29706) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1235118928
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENNIE N TILLCredential: MD
Location Address686 LESTER STPoplar Bluff, MO 63901-5025
Mailing AddressPo Box 220Poplar Bluff, MO 63902-0220 · (573) 686-2411 · Fax (573) 686-8452
Phone(573) 686-2411
Fax(573) 686-8452
Sole ProprietorNo
Enumeration DateJanuary 11, 2006
Last NPPES UpdateSeptember 1, 2011
✔ NPI 1235118928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 29706
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.
686 LESTER ST, Poplar Bluff, MO 63901
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Other Identifiers 5

Medicaid108014001AR
Medicare UPINA11811
Other080037689Travelers Medicare
Medicare ID-Type Unspecified000005689
Medicaid200421709MO

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.

SALLY ELIZABETH THURMAN
Community Health Worker
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
REBECCA PETERS
Behavior Technician
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
BREAUNA DESHEA BUCHANAN
Peer Specialist
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
KNEIBERT CLINIC LLC
Clinic/Center (Rural Health)
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-2411
DEBRA S PRICE FNP
Nurse Practitioner (Psychiatric/Mental Health)
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-2411
CLARK GARLAND
Counselor (Mental Health)
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 873-6833
JARRICA LYNN JOHNSON LMSW
Social Worker
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200
SARAH ELIZABETH SMITH
Behavior Technician
686 LESTER ST
POPLAR BLUFF, MO 63901
Butler County (573) 686-1200

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 Bennie Till's NPI number?

The NPI number for Bennie Till is 1235118928. It was assigned to this individual provider in the NPPES registry on January 11, 2006.

Where is Bennie Till located?

Bennie Till practices at 686 Lester St, Poplar Bluff, MO 63901. The listed phone number is (573) 686-2411.

What is Bennie Till'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 Bennie Till was last updated on September 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.