OrganizationActive
Independence Health PA
NPI 1184882094 · Geriatric Medicine (Internal Medicine) Physician · Smithfield, NC
Provider details
- NPI number
- 1184882094
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bernard Bennett, President(919) 622-8272
- License
- 36492 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
515 Barbour Rd
Smithfield, NC 27577-7698
Phone: (919) 934-6017
Fax: (919) 934-2057
Approximate (ZIP-level) locationGet directions
Mailing address
1209 Falls Bridge Dr
Raleigh, NC 27614-8935
Registry dates
- Enumerated
- 2008-05-28
- Last updated
- 2013-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.