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DANIEL A BENTLEY PA
NPI 1629177647
Physician Assistant - Surgical in Rockford, IL

Active since September 22, 2006
1401 E STATE ST, ROCKFORD, IL 61104(815) 391-6102 Get Directions Write a Review

NPPES record last updated: June 28, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel A Bentley Pa NPPES

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

DANIEL A BENTLEY PA (NPI 1629177647) is an individual surgical provider in Rockford, Illinois, licensed in Illinois (085.004313) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1629177647
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameDANIEL A BENTLEYCredential: PA
Location Address1401 E STATE STRockford, IL 61104-2315
Mailing Address95 Collier Rd, Suite 5015Atlanta, GA 30309 · (404) 605-2800
Phone(815) 391-6102
Sole ProprietorNo
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJune 28, 2013
✔ NPI 1629177647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in IL · 085.004313✔ Licensed in FL · PA9104555
1401 E STATE ST, Rockford, IL 61104
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Other Identifiers 1

Medicare PINAK297ZFL

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.

MRS. MANISHA AJIT PATEL DPT
Physical Therapist
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 489-4470
DR. THOMAS DANKO MD
Pediatrics
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (779) 696-4400
SWEDISHAMERICAN HOSPITAL
Pharmacy (Community/Retail Pharmacy)
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 968-4400
RADIOLOGY CONSULTANTS OF ROCKFORD LTD
Radiology (Diagnostic Radiology)
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (815) 489-4760
TIMOTHY A DEMING N.P.
Nurse Practitioner
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (414) 290-6720
ELAINE M WINEBRENNER PT
Physical Therapist
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (779) 696-7500
MARTIN BUTLER MD
Radiology (Diagnostic Radiology)
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (888) 696-7820
HEATHER R FREY N.P.
Nurse Practitioner
1401 E STATE ST
ROCKFORD, IL 61104
Winnebago County (414) 290-6720

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 Bentley's NPI number?

The NPI number for Daniel Bentley is 1629177647. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Daniel Bentley located?

Daniel Bentley practices at 1401 E State St, Rockford, IL 61104. The listed phone number is (815) 391-6102.

What is Daniel Bentley's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Daniel Bentley was last updated on June 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.