Individual
JERRY D BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
706 LEGEND LN, SHERMAN, TX 75092-5421
(903) 891-2139
Mailing address
706 LEGEND LN, SHERMAN, TX 75092-5421
(903) 814-0303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
F9192
TX
207P00000X
Emergency Medicine Physician
Primary
F9192
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140179633
—
TX
05
—
140179634
—
TX
01
—
85Z525
BCBS
TX
Enumeration date
08/30/2005
Last updated
03/31/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us