Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1528257698 Individual Practitioner Male Practitioner

Dr. Kenneth J Bennett , MD

Specialist • St Louis, MO

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Bennett, MD is a registered healthcare professional specializing in Specialist in St Louis, MO. Official NPI practice address is registered at 1040 N MASON RD.

Practice Location & Contact Primary Location

Practice Address

1040 N Mason Rd
Ste G-03

St Louis, MO 63141

Telephone 3148787899
Fax 3142051020
Associated Practice Facility / Clinic
🏢 Tempo Surgical Inc Facility NPI 1407936057

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in St Louis, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
3 Specialists

Practicing in St Louis, MO (503 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MO R4131

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Stanley London , MD

Orthopaedic Surgery

NPI 1477500692

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 06, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 06, 2009

Registered at 1040 N MASON RD, STE G-03, ST LOUIS, MO 63141 (Tel: 3148787899)

📍
Updated Business Mailing Address August 06, 2009

Registered at 1040 N MASON RD, STE G-03, SAINT LOUIS, MO 631416399 (Tel: 3148787899)

👤
Provider Name / Credentials Updated August 06, 2009

Recorded as KENNETH BENNETT, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2009

Specialist (License #R4131 in MO)

🟢
Initial NPI Registration & Enumeration October 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528257698
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2007
Last Update: August 06, 2009
Sole Proprietor: Yes

Mailing Address

1040 N Mason Rd, Ste G-03

Saint Louis, MO 631416399

Phone: 3148787899

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.