Healthcare Provider Details

I. General information

NPI: 1568408011
Provider Name (Legal Business Name): BENDER MEDICAL GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 NILES ST
BAKERSFIELD CA
93306-4246
US

IV. Provider business mailing address

2911 NILES ST
BAKERSFIELD CA
93306-4246
US

V. Phone/Fax

Practice location:
  • Phone: 661-325-7244
  • Fax: 661-325-7247
Mailing address:
  • Phone: 661-325-7244
  • Fax: 661-325-7247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: BARRY LEE BENDER
Title or Position: ADMINISTRATOR
Credential: D.O.
Phone: 661-325-7244