Provider Demographics
NPI:1417180233
Name:CARTER, BENNIE FRANKLIN (MD)
Entity Type:Individual
Prefix:
First Name:BENNIE
Middle Name:FRANKLIN
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1153 LISA CT
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-3513
Mailing Address - Country:US
Mailing Address - Phone:703-437-8939
Mailing Address - Fax:
Practice Address - Street 1:2700 MARTIN LUTHER KING JR. AVE., S.E.
Practice Address - Street 2:ST ELIZABETHS HOSPITAL - JOHN HOWARD PAVILION
Practice Address - City:WASHINGTON, DC
Practice Address - State:DC
Practice Address - Zip Code:20032
Practice Address - Country:US
Practice Address - Phone:202-645-4912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD153062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry