DEREK T BENNETSEN DO
NPI 1720011232
Emergency Medicine in Dallas, TX

Active since July 08, 2006
12221 MERIT DR, SUITE 1610, DALLAS, TX 75251(214) 217-1911 Get Directions Write a Review

NPPES record last updated: November 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Derek T Bennetsen Do NPPES

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

DEREK T BENNETSEN DO (NPI 1720011232) is an individual emergency medicine provider in Dallas, Texas, licensed in Texas (M2257) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1720011232
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDEREK T BENNETSENCredential: DO
Location Address12221 MERIT DR, SUITE 1610Dallas, TX 75251-2202
Mailing Address12221 Merit Dr, Suite 1610Dallas, TX 75251-2202
Sole ProprietorNo
Enumeration DateJuly 8, 2006
Last NPPES UpdateNovember 20, 2008
NPI 1720011232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in TX · M2257
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

12221 MERIT DR, Dallas, TX 75251

Other Identifiers 12

Medicare PIN8G6685TX
OtherP00388057TX · Railroad
Other8W1788TX · Bcbs
Medicare UPINI59913TX
Medicaid90058763NM
Medicaid181816301TX
Medicare PIN8L1132TX
Other8W0731TX · Bcbs
Medicaid181816304TX
Medicare PIN8L0595TX
Other8AL417TX · Bcbs
Medicaid181816302TX

Accepted Insurance

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.

Internal Medicine
12221 MERIT DR, STE 460
DALLAS, TX 75251
Emergency Medicine
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Physician Assistant (Medical)
12221 MERIT DR, STE 1610
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Psychiatry & Neurology (Neurology)
12221 MERIT DR, SUITE #350
DALLAS, TX 75251
Internal Medicine
12221 MERIT DR, SUITE 1610
DALLAS, TX 75251
Physical Medicine & Rehabilitation
12221 MERIT DR, SUITE 460
DALLAS, TX 75251

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720011232, enumerated as an "individual" on July 08, 2006.

The provider is located at 12221 MERIT DR SUITE 1610 DALLAS, TX 75251 and the phone number is (214) 217-1911.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Molina Healthcare, Medicare, Medicaid and Blue. Please consult your insurance carrier or call the provider to verify.