Individual
DR. MICHAEL P. BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6727 TAYLOR COURT, MONTGOMERY, AL 36117-7708
(334) 284-2800
(334) 284-0438
Mailing address
6727 TAYLOR COURT, MONTGOMERY, AL 36117-7708
(334) 284-2800
(334) 284-0438
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12601
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51083847
BLUE CROSS BLUE SHIELD
AL
05
—
529102270
—
AL
Enumeration date
03/23/2006
Last updated
10/26/2011
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