BRYAN KING BENNETT (PA-C) – Physician Assistant, NPI 1417424011
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for BRYAN KING BENNETT (PA-C)
48542 GAMMON CT UNIT 2
FORT HOOD, TX 765441804
Phone: (315) 222-3564
Type: Mailing
CARL R DARNALL ARMY MEDICAL CENTER, 36065 SANTA FE AVE.
FORT HOOD, TX 76544
Phone: (315) 222-3564
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $30.
Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.
Last reported payment date: 2023-11-16 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($30).
Total Amount
$30
General + Research + Ownership
Payments
2
Total payment records
General Amount
$30
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $30 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-05-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230505002008 | I | Physician Assistant | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 46 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 29 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 23 | 22 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 22 | 11 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 20 | 17 | $0 |
Insurance plans in this area (ZIP 76544)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WY | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| - | AA | |
| Physician Assistant | TX | |
| Family Practice | TX | |
| Physician Assistant | TX |
Reviews
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