Healthcare Provider Details

I. General information

NPI: 1740523869
Provider Name (Legal Business Name): JOSHUA STERLING BENTLEY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2013
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1118 ROSS CLARK CIR STE 704
DOTHAN AL
36301-3030
US

IV. Provider business mailing address

1118 ROSS CLARK CIR STE 704
DOTHAN AL
36301-3030
US

V. Phone/Fax

Practice location:
  • Phone: 334-824-3098
  • Fax: 334-761-2449
Mailing address:
  • Phone: 334-824-3098
  • Fax: 334-761-2449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberDO.1843
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: