Provider Demographics
NPI:1023511391
Name:BANKARD, SCOTT BENET (MPT)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:BENET
Last Name:BANKARD
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 HIGH VISTA DR
Mailing Address - Street 2:
Mailing Address - City:MILLS RIVER
Mailing Address - State:NC
Mailing Address - Zip Code:28759-2561
Mailing Address - Country:US
Mailing Address - Phone:828-489-6681
Mailing Address - Fax:
Practice Address - Street 1:769 CHERAW RD
Practice Address - Street 2:
Practice Address - City:HAMLET
Practice Address - State:NC
Practice Address - Zip Code:28345-7158
Practice Address - Country:US
Practice Address - Phone:910-582-0021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9735208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation