Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bennett Institute for Urogynecology and Incontinence PC

Organization Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · NPI 1790410991

Bennett Institute for Urogynecology and Incontinence PC is an Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Grand Rapids, Michigan. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

770 Kenmoor Ave SE Ste 301
Grand Rapids, MI 49546-8621
Phone: (616) 290-1876
Fax: (616) 290-1877
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X

Record details

NPI number1790410991
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Bennett — President · (616) 290-1876
NPI enumeratedJuly 21, 2022
Last updated in NPPESMay 27, 2024
Certification dateMay 27, 2024
Mailing address770 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-8621

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