MEDICARE: JAY STUART BENDER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	J3986	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346242278
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAY STUART BENDER M.D.

Provider Business Mailing Address
First Line	:	2900 N INTERSTATE 35 STE 200
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-5144
Country	:	US
Telephone Number	:	940-323-3400
Fax Number	:	940-323-3410

Provider Business Practice Location Address
First Line	:	2900 N INTERSTATE 35 STE 200
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76201-5144
Country	:	US
Telephone Number	:	940-323-3400
Fax Number	:	940-323-3410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2005
Last Update Date	:	02/17/2016

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Directions to “ JAY STUART BENDER M.D.” Practice Location

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