INDEPENDENCE MEDICAL, PA
NPI 1700845112
Family Medicine - Geriatric Medicine in Smithfield, NC

Q: What is Independence Medical, PA's NPI number?

The NPI number for Independence Medical, PA is 1700845112. It was assigned to this organization in the NPPES registry on March 23, 2006.

Q: What is Independence Medical, PA's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since March 23, 2006

515 BARBOUR RD, SMITHFIELD, NC 27577(919) 544-4747(919) 544-0104 Get Directions Write a Review

NPPES record last updated: October 31, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Independence Medical, Pa NPPES

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

INDEPENDENCE MEDICAL, PA (NPI 1700845112) is a healthcare organization registered as a geriatric medicine in Smithfield, North Carolina and active in the NPI registry since March 2006. The organization lists Bernard L Bennett, President, as its authorized official.

NPPES Registry Identity

NPI1700845112

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameINDEPENDENCE MEDICAL, PA

Location Address515 BARBOUR RDSmithfield, NC 27577-7698

Mailing Address1209 Falls Bridge DrRaleigh, NC 27614-8935 · (919) 544-4747 · Fax (919) 544-0104

Phone(919) 544-4747

Fax(919) 544-0104

Organization SubpartNo

Authorized OfficialBernard L BennettPresident · (919) 622-8272

Enumeration DateMarch 23, 2006

Last NPPES UpdateOctober 31, 2013

✔ NPI 1700845112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in NC · 36493

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

515 BARBOUR RD, Smithfield, NC 27577

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Other Identifiers 5

OtherP00062870NC · Medicare Railroad

OtherDA5493NC · Medicare Railroad

Medicaid1028PNC

Medicaid891028PNC

Medicare PIN2333119NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

INDEPENDENCE HEALTH PA

Internal Medicine (Geriatric Medicine)