Provider Demographics
NPI:1568408011
Name:BENDER MEDICAL GROUP
Entity Type:Organization
Organization Name:BENDER MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:BENDER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:661-325-7244
Mailing Address - Street 1:2911 NILES ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-4246
Mailing Address - Country:US
Mailing Address - Phone:661-325-7244
Mailing Address - Fax:661-325-7247
Practice Address - Street 1:2911 NILES ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-4246
Practice Address - Country:US
Practice Address - Phone:661-325-7244
Practice Address - Fax:661-325-7247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty