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JONATHAN TUCKER BENNETT MD
NPI 1366382574
Student in an Organized Health Care Education/Training Program in Norfolk, VA

Active since March 30, 2026PECOS Enrolled
600 GRESHAM DR, NORFOLK, VA 23507(757) 388-3000 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jonathan Tucker Bennett Md NPPES

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

JONATHAN TUCKER BENNETT MD (NPI 1366382574) is an individual student in an organized health care education/training program in Norfolk, Virginia and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366382574
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJONATHAN TUCKER BENNETTCredential: MD
Location Address600 GRESHAM DRNorfolk, VA 23507-1904
Mailing Address825 Fairfax AveNorfolk, VA 23507-1914 · (757) 446-5600
Phone(757) 388-3000
Sole ProprietorNo
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 30, 2026
✔ NPI 1366382574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
600 GRESHAM DR, Norfolk, VA 23507
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Tucker Bennett Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

TRACY LYN MARTINO
Nurse Practitioner (Family)
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 388-8441
REBEKAH ANN CRISP AUD
Audiologist
600 GRESHAM DR, SUITE 1100
NORFOLK, VA 23507
Norfolk City (757) 388-6200
DEVIN PAGE RUSSELL MCINTOSH MD
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 446-8937
DR. ADAM GRANT EVANS MD
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (717) 388-8000
ABIGAIL WHALEY SMITH DO
Student in an Organized Health Care Education/Training Program
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 388-3551
DR. KATHERINE ALLEN MCKNEW P.T.
Physical Therapist
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 388-3663
VICTOR SAXENA M.D.
Anesthesiology
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 473-0055
AMY LEIGH CLARK
Nurse Anesthetist, Certified Registered
600 GRESHAM DR
NORFOLK, VA 23507
Norfolk City (757) 388-3000

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 Jonathan Bennett's NPI number?

The NPI number for Jonathan Bennett is 1366382574. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Jonathan Bennett located?

Jonathan Bennett practices at 600 Gresham Dr, Norfolk, VA 23507. The listed phone number is (757) 388-3000.

What is Jonathan Bennett's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jonathan Bennett enrolled in Medicare?

Yes. Jonathan Bennett is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jonathan Bennett was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.