Individual
DR. ROBERT MACINTYRE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
658 HOSPITAL RD, SUITE 302, TAPPAHANNOCK, VA 22560-5000
(804) 443-6235
(804) 443-6239
Mailing address
8001 FRANKLIN FARMS DR, SUITE 130, RICHMOND, VA 23229-5108
(804) 521-5800
(804) 545-4340
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101024513
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010009120
—
VA
01
—
103789
ANTHEM/VA HEALTHKEEPERS
VA
01
—
1432711
CIGNA
VA
01
—
27413300
FEDERAL BLACK LUNG
VA
01
—
296195
SOUTHERN HEALTH
VA
01
—
3257137
AETNA US HEALTHCARE HMO
VI
01
—
4063276
AETNA US HEALTHCARE
VA
01
—
463048
ANTHEM/VA HEALTHKEEPERS
VA
01
—
5102802
MAMSI
VA
01
—
72764
OPTIMA HEALTH
VA
01
—
P00029402
RAILROAD MEDICARE
VA
Enumeration date
06/08/2006
Last updated
10/30/2020
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