Individual
DAVID ERIC BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1878 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9663
(270) 465-7505
(270) 789-3860
Mailing address
1878 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9663
(270) 465-7505
(270) 789-3860
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
24667
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000062911
ANTHEM BCBS
KY
01
—
020025461
RAILROAD MEDICARE
KY
01
—
48C4
BC/BS
KY
05
—
64246671
—
KY
Enumeration date
10/19/2006
Last updated
03/07/2023
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