# WILLIAM BRENT BENNETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659634277
- **Gender:** Man
- **Credential:** M. D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E-8116 | AR | Yes |
| 207Q00000X | Family Medicine Physician | P8116 | TX | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 06/19/2012
- **Last updated:** 06/09/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201917001 | — | AR |
| 05 | — | 356111001 | — | TX |
| 01 | — | P01525303 | RAILROAD MEDICARE | AR |
| 01 | — | P02599428 | RR MCR | TX |