NICHOLAS J. BENTLEY D.O. – NPI #1932173671
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

NICHOLAS BENTLEY is a physician located in ADA, OK. NPPES has assigned the NPI number 1932173671 to NICHOLAS BENTLEY on February 16, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Jul 10, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICHOLAS BENTLEY below.

NPI Profile for
NICHOLAS J. BENTLEY

NPI Number
1932173671
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NICHOLAS J. BENTLEY
Credentials
D.O.
Primary location
1921 STONECIPHER DR
ADA, OK 74820-3439
Phone: (580) 436-3980 Fax: (580) 421-6283
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jul 10, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for NICHOLAS BENTLEY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOK100200460A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 OK 2348

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE - Graduated 1983
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
NICHOLAS BENTLEY is affiliated with the following medical group(s):
  • HOSPITAL
    • MEMORIAL HOSPITAL
      1401 WEST LOCUST
      STILWELL, OK 74960
    • NORTHEASTERN HEALTH SYSTEM
      1400 EAST DOWNING STREET
      TAHLEQUAH, OK 74465
  • HOME HEALTH AGENCY
    • ANGELS CARE HOME HEALTH OF EAST OKLAHOMA
      751 N ASPEN
      BROKEN ARROW, OK 74012
    • MEMORIAL HOSPITAL HOME CARE
      1401 WEST LOCUST STREET
      STILWELL, OK 74960
    • OKLAHOMA HEALTHCARE SOLUTIONS I
      156 SOUTH EL PASO Y
      KETCHUM, OK 74349
  • NURSING HOME
    • STILWELL NURSING AND REHAB
      509 W LOCUST ST
      STILWELL, OK 74960
  • HOSPICE
    • GOOD SHEPHERD HOSPICE, INC
      1120 NEO LOOP
      GROVE, OK 74344

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