IndividualActive
Daniel Bennett, MD
NPI 1013200997 · Cardiovascular Disease Physician · Provo, UT
Provider details
- NPI number
- 1013200997
- Entity type
- Individual
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 11277589-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
395 W Cougar Blvd
Provo, UT 84604-3311
Phone: (801) 357-4600
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 27128
Salt Lake City, UT 84127-0128
Additional practice locations (2)
- 1055 N 500 WSte 101, Building CProvo, UT 84604Phone: (801) 373-4366
- 972 N 600 ESpanish Fork, UT 84660-1306Phone: (801) 373-4366
Registry dates
- Enumerated
- 2011-05-25
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.