Individual
DR. BRUCE W. BENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N. 16TH ST, SUITE 250, NEW CASTLE, IN 47362-4319
(765) 521-1217
(765) 521-1218
Mailing address
PO BOX 530, SUITE 250, NEW CASTLE, IN 47362-0530
(765) 521-1217
(765) 521-1218
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01040456
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200095460
—
IN
Enumeration date
10/05/2006
Last updated
09/09/2020
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