JERRY L BENNETT MD
NPI 1750382321
Pediatrics in Winston Salem, NC

NPI Status: Active since August 09, 2005

Contact Information

2808 MAPLEWOOD AVE
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-9000
Fax: (336) 765-5702

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  • Individual
  • Male
  • Pediatrics

About JERRY BENNETT

This page provides the complete NPI Profile along with additional information for Jerry Bennett, a pediatrician established in Winston Salem, North Carolina with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1750382321 assigned on August 2005. The practitioner's primary taxonomy code is 208000000X with license number 15434 (NC). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1750382321
Provider Name
JERRY L BENNETT MD
Other Name
JERRY LEE BENNETT MD
Other Name Type
Professional Name (2)
Gender
Male
Entity Type
Individual
Location Address
2808 MAPLEWOOD AVE WINSTON SALEM, NC 27103
Location Phone
(336) 765-9000
Location Fax
(336) 765-5702
Mailing Address
2808 MAPLEWOOD AVE WINSTON SALEM, NC 27103
Mailing Phone
(336) 765-9000
Mailing Fax
(336) 765-5702
Is Sole Proprietor?
Yes
Enumeration Date
08-09-2005
Last Update Date
03-07-2023
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A pediatrician like Jerry Bennett is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
15434
License State
NC
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750382321
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710068434
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 6 + 8 + 4 + 3 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1750382321 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1871594762 MEGAN S MCLAUGHLIN CPNP
Individual
Nurse Practitioner2808 MAPLEWOOD AVE WINSTON-SALEM PEDIATRICS PA
WINSTON-SALEM, NC 27103
(336) 765-9000
1154348597HIGHROAD PEDIATRICS
Organization
Pediatrics2808 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
(336) 765-9000
1326032947 TAMMIE FRAZIER WILEY MD
Individual
Pediatrics2808 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
(336) 765-9000
1154737898MR. WILLIAM DUSTIN SELLERS PA-C
Individual
Physician Assistant2808 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
(336) 765-9000
1245635184MRS. MOLLY BEAL TODA CPNP-PC
Individual
Nurse Practitioner (Pediatrics)2808 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
(336) 765-9000
1841798949ALEXANDER YOUTH NETWORK
Organization
Community/Behavioral Health2808 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
(336) 765-9000
1841852787 SARA ELIZABETH ABSHER NAGPAL CPNP-PC
Individual
Nurse Practitioner (Pediatrics)2808 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
(336) 765-9000
1407410004 GRACE PARK MD
Individual
Pediatrics2808 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
(336) 765-9000
1356342745 MARGUERITE T TENNILLE MD
Individual
Pediatrics2808 MAPLEWOOD AVE
WINSTON-SALEM, NC 27103
(336) 765-9000
1720080674 PEGGY A BYUN MD
Individual
Pediatrics2808 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
(336) 765-9000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750382321, enumerated in the NPI registry as an "individual" on August 09, 2005

The provider is located at 2808 Maplewood Ave Winston Salem, Nc 27103 and the phone number is (336) 765-9000

The provider's speciality is Pediatrics with taxonomy code 208000000X

This NPI record was last updated on August 09, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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