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CHARLES WILLIAM BENNETT M.D.
NPI 1548452915
General Practice in Albuquerque, NM

Active since August 09, 2007PECOS Enrolled
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109(505) 884-1114(505) 884-3004 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 7, 2024, Aug 20, 2024, Jul 27, 2022 (3 updates tracked since 2022).

About Charles William Bennett M.d. NPPES

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

CHARLES WILLIAM BENNETT M.D. (NPI 1548452915) is an individual general practice provider in Albuquerque, New Mexico, licensed in New Mexico (MD2016-0080) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548452915
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameCHARLES WILLIAM BENNETTCredential: M.D.
Location Address7850 JEFFERSON ST NE STE 300Albuquerque, NM 87109-4314
Mailing Address7850 Jefferson St Ne Ste 300Albuquerque, NM 87109-4314 · (505) 884-1114 · Fax (505) 884-3004
Phone(505) 884-1114
Fax(505) 884-3004
Sole ProprietorYes
Enumeration DateAugust 9, 2007
Last NPPES UpdateNovember 7, 20243 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1548452915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NM · MD2016-0080
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
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License MD2016-0080 (NM)
7850 JEFFERSON ST NE STE 300, Albuquerque, NM 87109
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles William Bennett M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Charles Bennett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sage Neuroscience Center Inc
Same address
Mental Health
7850 JEFFERSON ST NE STE 300
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 48 clinicians in this Medicare group
NPI 1578644415 (505) 884-1114
Desert Mountain Healing Iop
6.6 mi
Rehabilitation
3301 SOUTHERN BLVD SE STE 105
Rio Rancho, NM 87124
  • Reassigned Medicare billing, New Mexico enrollment
  • 4 clinicians in this Medicare group
NPI 1831830413 (505) 270-0840

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KIRA ELIZABETH WEGE
Counselor (Mental Health)
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 884-1114
WHITNEY A CASAS LMSW
Social Worker
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 884-1114
GEORGE J CONNER
Counselor (Mental Health)
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 884-1114
SAGE PRIMARY CARE CLINIC
Internal Medicine
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 884-1114
ISAAC JORDAN PENNER MA, LPCC
Counselor (Professional)
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 379-4035
MR. CRAIG JAMES SALISBURY LPCC
Counselor (Professional)
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 226-2839
DR. BRENDA L. WOLFE PHD
Psychologist (Clinical)
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 884-1114
DR. ANTHONY JAMES HOLZGANG MD
Psychiatry & Neurology (Psychiatry)
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 884-1114

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 Charles Bennett's NPI number?

The NPI number for Charles Bennett is 1548452915. It was assigned to this individual provider in the NPPES registry on August 9, 2007.

Where is Charles Bennett located?

Charles Bennett practices at 7850 Jefferson St NE Ste 300, Albuquerque, NM 87109. The listed phone number is (505) 884-1114.

What is Charles Bennett's specialty?

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

Is Charles Bennett enrolled in Medicare?

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

Which organizations bill Medicare for Charles Bennett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Bennett reassigns Medicare benefits to 2 organizations: Sage Neuroscience Center Inc (Albuquerque, NM) and Desert Mountain Healing Iop (Rio Rancho, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Bennett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Bennett was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.