# MATTHEW P BENNETT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1144205899
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 15383 | AL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 15383 | AL | — |
| 207P00000X | Emergency Medicine Physician | 00015383 | AL | — |

## Other

- **Enumeration date:** 12/14/2005
- **Last updated:** 05/15/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000046345 | — | AL |
| 05 | — | 000051302 | — | AL |
| 01 | — | 051051302 | BCBS PROVIDER NUMBER | AL |
| 05 | — | 051550606 | — | AL |
| 05 | — | 051557203 | — | AL |
| 05 | — | 137875 | — | AL |
| 01 | — | 51046345 | BLUE CROSS BLUE SHIELD | AL |
| 01 | — | 51051302 | BLUE CROSS BLUE SHIELD | AL |
| 01 | — | 515-50606 | BC BS OF AL | AL |
| 01 | — | 51545536 | BLUE CROSS BLUE SHIELD | AL |