BENNETT R. HOLLENBERG M.D. – NPI #1164496402
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

BENNETT HOLLENBERG is a radiologist located in CHARLOTTE, NC. NPPES has assigned the NPI number 1164496402 to BENNETT HOLLENBERG on February 14, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on Sep 29, 2020. 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 BENNETT HOLLENBERG below.

NPI Profile for
BENNETT R. HOLLENBERG

NPI Number
1164496402
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BENNETT R. HOLLENBERG
Credentials
M.D.
Primary location
3623 LATROBE DR
SUITE 216
CHARLOTTE, NC 28211
Phone: (704) 332-1291 Fax: (704) 332-5206
Mailing address
PO BOX 221249
CHARLOTTE, NC 28222-1249
Phone: (704) 332-1291 Fax: (704) 332-5206
Sole Proprietor
No
Updated
Certification Date
Sep 29, 2020

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 BENNETT HOLLENBERG

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
MEDICAIDNC8943116
MEDICAIDSCN29595
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
NC 29595
2085B0100X
- Radiology / Body Imaging
NC 29595

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.