DR. DANIEL BRUCE BENNETT MD
NPI 1447363833
General Practice in Jonesboro, AR

Q: What is Daniel Bennett's NPI number?

The NPI number for Daniel Bennett is 1447363833. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is Daniel Bennett's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: Is Daniel Bennett enrolled in Medicare?

No. Daniel Bennett has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Daniel Bennett was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 17, 2006Opted out of Medicare · through Jan 1, 2028

1000 E MATTHEWS AVE, SUITE B, JONESBORO, AR 72401(870) 932-6883(870) 972-0719 Get Directions Write a Review

NPPES record last updated: June 13, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Daniel Bruce Bennett Md NPPES

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

DR. DANIEL BRUCE BENNETT MD (NPI 1447363833) is an individual general practice provider in Jonesboro, Arkansas, licensed in Arkansas (E2282) and active in the NPI registry since August 2006. He has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447363833

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameDR. DANIEL BRUCE BENNETTCredential: MD

Location Address1000 E MATTHEWS AVE, SUITE BJonesboro, AR 72401-4307

Mailing Address1000 E Matthews Ave, Suite BJonesboro, AR 72401-4307 · (870) 932-6883 · Fax (870) 972-0719

Phone(870) 932-6883

Fax(870) 972-0719

Sole ProprietorYes

Enumeration DateAugust 17, 2006

Last NPPES UpdateJune 13, 2016

✔ NPI 1447363833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in AR · E2282

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1000 E MATTHEWS AVE, Jonesboro, AR 72401

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Other Identifiers 4

Medicare ID-Type Unspecified5L223AR

Medicaid138617001AR

Medicare PIN5L223AR

Medicare UPING93327AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Daniel Bruce Bennett Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2012 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2012

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2081008

Daniel Bennett MD PA · Jonesboro, AR

Expired · Jul 16, 2026

CLIA Number04D2081008

Laboratory TypePhysician Office

Certificate Effective DateJuly 17, 2024

Certificate Expiration DateJuly 16, 2026

Laboratory DirectorDr. Daniel B. Bennett

Laboratory Phone(870) 932-6883

Laboratory LocationDaniel Bennett MD PA1000 E Matthews, Ste B, Jonesboro, AR 72401

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

R. EDWARD COOPER JR., M.D., P.A.

Orthopaedic Surgery

1000 E MATTHEWS AVE, SUITE D
JONESBORO, AR 72401

Craighead County (870) 972-8521

R. EDWARD COOPER JR MD, PA

Specialist

1000 E MATTHEWS AVE, SUITE D
JONESBORO, AR 72401

Craighead County (870) 972-8521

DR. DARON MERRYMAN MD

Family Medicine

1000 E MATTHEWS AVE, SUITE B
JONESBORO, AR 72401

Craighead County (870) 336-4050

PATS SUPER V DRUG STORE INC

Pharmacy (Community/Retail Pharmacy)

1000 E MATTHEWS AVE, STE A
JONESBORO, AR 72401

Craighead County (870) 972-6470

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 Daniel Bennett's NPI number?

The NPI number for Daniel Bennett is 1447363833. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Daniel Bennett located?

Daniel Bennett practices at 1000 E Matthews Ave Suite B, Jonesboro, AR 72401. The listed phone number is (870) 932-6883.

What is Daniel Bennett's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Daniel Bennett enrolled in Medicare?

No. Daniel Bennett has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Daniel Bennett accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Daniel Bennett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel Bennett was last updated on June 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.