Individual
STEVEN M BENTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4924 CAMPBELL BLVD, BALTIMORE, MD 21236-5908
(443) 461-1997
Mailing address
35 CODY AVE, BALTIMORE, MD 21234-1375
(410) 256-7015
(410) 256-7015
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
D36487
MD
207R00000X
Internal Medicine Physician
Primary
D0036487
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20012629
AMERIHEALTH MERCY HEALTH
MD
05
—
413046400
—
MD
05
—
531571900
—
MD
01
—
60050001
DC BLUE CROSS
MD
01
—
60059303
BLUE CROSS
MD
01
—
930110637
RAILROAD MEDICARE
MD
01
—
P00430526
RAILROAD
MD
Enumeration date
06/05/2006
Last updated
04/23/2024
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