IndividualActive
Adrian Bennett, DO
NPI 1477086239 · Hospitalist Physician · Red Bud, IL
Provider details
- NPI number
- 1477086239
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- OP61608853 (WA)
Mailing address
1119 Mississippi Ave Apt 210
Saint Louis, MO 63104-2449
Registry dates
- Enumerated
- 2017-04-09
- Last updated
- 2026-01-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.