Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ROLAND WILLIAM BENNETTS M.D.
NPI 1902851132
Specialist in Portland, OR

Q: What is Roland Bennetts's NPI number?

The NPI number for Roland Bennetts is 1902851132. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Roland Bennetts's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Roland Bennetts was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 24, 2006

1130 NW 22ND AVE, SUITE 410, PORTLAND, OR 97210(503) 229-7137 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Roland William Bennetts M.d. NPPES

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

ROLAND WILLIAM BENNETTS M.D. (NPI 1902851132) is an individual specialist in Portland, Oregon, licensed in Oregon (MD9523) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1902851132

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameROLAND WILLIAM BENNETTSCredential: M.D.

Location Address1130 NW 22ND AVE, SUITE 410Portland, OR 97210-2900

Mailing Address1130 Nw 22nd Ave, Suite 410Portland, OR 97210-2911 · (503) 229-7137

Phone(503) 229-7137

Sole ProprietorNo

Enumeration DateMay 24, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1902851132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OR · MD9523

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1130 NW 22ND AVE, Portland, OR 97210

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Other Identifiers 1

Medicaid10496-8OR

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Photodocumentation of Cecal Intubation

The rate of screening and surveillance colonoscopies for which photodocumentation of landmarks of cecal intubation is performed to establish a complete examination

100%60 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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