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MR. PRENTISS BERNARD CARTER III MD
NPI 1992808489
Obstetrics & Gynecology in Peoria, IL

Active since September 07, 2006
5401 N KNOXVILLE AVE, SUITE 308, PEORIA, IL 61614(309) 692-5100(309) 692-1400 Get Directions Write a Review

NPPES record last updated: August 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Prentiss Bernard Carter Iii Md NPPES

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

MR. PRENTISS BERNARD CARTER III MD (NPI 1992808489) is an individual obstetrics & gynecology provider in Peoria, Illinois, licensed in Illinois (036044919) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1992808489
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameMR. PRENTISS BERNARD CARTER IIICredential: MD
Location Address5401 N KNOXVILLE AVE, SUITE 308Peoria, IL 61614-5098
Mailing Address5401 N Knoxville Ave, Suite 308Peoria, IL 61614-5098 · (309) 692-5100 · Fax (309) 692-1400
Phone(309) 692-5100
Fax(309) 692-1400
Sole ProprietorNo
Enumeration DateSeptember 7, 2006
Last NPPES UpdateAugust 29, 2011
✔ NPI 1992808489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in IL · 036044919
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5401 N KNOXVILLE AVE, Peoria, IL 61614
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Other Identifiers 5

Other118779IL · Healthlink
Medicaid036044919IL
Medicare UPIND10478
Medicare ID-Type Unspecified231910IL
Other0007215713IL · Blue Cross Blue Shield

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.

YIBING LI MD
Physical Medicine & Rehabilitation
5401 N KNOXVILLE AVE, STE 117
PEORIA, IL 61614
Peoria County (309) 689-8888
PATTI L ALLY
Audiologist-Hearing Aid Fitter
5401 N KNOXVILLE AVE, SUITE 116
PEORIA, IL 61614
Peoria County (309) 282-0887
PROCTOR HEALTH SYSTEMS
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 103
PEORIA, IL 61614
Peoria County (309) 691-7800
MS. BARBARA J NALL APN
Nurse Practitioner (Women's Health)
5401 N KNOXVILLE AVE, SUITE 308
PEORIA, IL 61614
Peoria County (309) 692-5100
SUSAN GWILLIM PT
Physical Therapist
5401 N KNOXVILLE AVE, SUITE 218
PEORIA, IL 61614
Peoria County (309) 693-2244
MR. KEVIN M HENRY MD
Anesthesiology (Pain Medicine)
5401 N KNOXVILLE AVE, SUITE 416
PEORIA, IL 61614
Peoria County (309) 692-7246
MS. COLLEEN SUSANNE CUSHING RAGON APN, CNS
Nurse Practitioner (Family)
5401 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1069
SUSAN J COLE, MD & ASSOCIATES
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 107
PEORIA, IL 61614
Peoria County (309) 691-2311

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 Prentiss Carter's NPI number?

The NPI number for Prentiss Carter is 1992808489. It was assigned to this individual provider in the NPPES registry on September 7, 2006.

Where is Prentiss Carter located?

Prentiss Carter practices at 5401 N Knoxville Ave Suite 308, Peoria, IL 61614. The listed phone number is (309) 692-5100.

What is Prentiss Carter's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Prentiss Carter was last updated on August 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.