OrganizationActive
Bennett Institute for Urogynecology and Incontinence PC
NPI 1790410991 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1790410991
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Bennett, President(616) 290-1876
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
770 Kenmoor Ave Se Ste 301
Grand Rapids, MI 49546-8621
Phone: (616) 290-1876
Fax: (616) 290-1877
Street-level locationGet directions
Mailing address
770 Kenmoor Ave Se Ste 301
Grand Rapids, MI 49546-8621
Registry dates
- Enumerated
- 2022-07-21
- Last updated
- 2024-05-27
- Certified
- 2024-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.