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Independence Medical, PA

Geriatric Medicine (Family Medicine) Physician in Smithfield, NC · enumerated 2006 · authorized official Bernard Bennett, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700845112

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Registry record

Entity type Organization (Type 2)
Legal business name Independence Medical, PA
Practice address 515 Barbour Rd, Smithfield, NC, 27577
Fax (919) 544-0104
Enumeration date Mar 23, 2006
Last updated in NPPES Oct 31, 2013

Taxonomy & classification

207QG0300X Geriatric Medicine (Family Medicine) Physician Allopathic & Osteopathic Physicians · License 36493 (NC) Primary

Authorized official

Name Bernard Bennett
Title President

Other identifiers

Identifier Type State Issuer
DA5493 Other NC MEDICARE RAILROAD
891028P Medicaid NC -
1028P Medicaid NC -
P00062870 Other NC MEDICARE RAILROAD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Independence Medical, PA?
Independence Medical, PA is registered in NPPES as a Geriatric Medicine (Family Medicine) Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-10-31.