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PAUL A BENNETT MD
NPI 1366526600
Family Medicine in Carbondale, IL

Active since October 24, 2006
374 E GRAND AVE # 6740, CARBONDALE, IL 62901(618) 453-3311(618) 453-4449 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul A Bennett Md NPPES

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

PAUL A BENNETT MD (NPI 1366526600) is an individual family medicine provider in Carbondale, Illinois, licensed in Illinois (036-054875) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1366526600
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL A BENNETTCredential: MD
Location Address374 E GRAND AVE # 6740Carbondale, IL 62901-3962
Mailing Address3050 Chautauqua RdCarbondale, IL 62901-5241 · (618) 457-5980
Phone(618) 453-3311
Fax(618) 453-4449
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateMay 10, 2024
NPPES CertifiedMay 10, 2024
✔ NPI 1366526600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036-054875
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.
374 E GRAND AVE # 6740, Carbondale, IL 62901
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Other Providers at the Same Location NPPES

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

DR. KELLY COLLEEN HIGGINS MD
Internal Medicine
374 E GRAND AVE # 6740
CARBONDALE, IL 62901
Jackson County (618) 453-3311

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 Paul Bennett's NPI number?

The NPI number for Paul Bennett is 1366526600. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Paul Bennett located?

Paul Bennett practices at 374 E Grand Ave # 6740, Carbondale, IL 62901. The listed phone number is (618) 453-3311.

What is Paul 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 Paul Bennett was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.