NATHANIEL D BENNETT PAC
NPI 1427076637
Physician Assistant - Medical in Salem, VA

Q: What is Nathaniel Bennett's NPI number?

The NPI number for Nathaniel Bennett is 1427076637. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Q: What is Nathaniel Bennett's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nathaniel Bennett was last updated on July 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 17, 2006PECOS Enrolled

1970 ROANOKE BLVD, SALEM, VA 24153(540) 982-2463 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Nathaniel D Bennett Pac NPPES

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

NATHANIEL D BENNETT PAC (NPI 1427076637) is an individual medical provider in Salem, Virginia, licensed in Virginia (0110-001867) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427076637

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameNATHANIEL D BENNETTCredential: PAC

Location Address1970 ROANOKE BLVDSalem, VA 24153-6404

Mailing Address3343 Clara Ave SwRoanoke, VA 24018-1301 · (540) 362-1594 · Fax (276) 236-8899

Phone(540) 982-2463

Sole ProprietorNo

Enumeration DateJuly 17, 2006

Last NPPES UpdateJuly 16, 2014

✔ NPI 1427076637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in VA · 0110-001867

1970 ROANOKE BLVD, Salem, VA 24153

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Other Identifiers 2

Medicare UPINP62704VA

Medicaid010116309VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathaniel D Bennett Pac 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.