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

Independence Medical, PA

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1700845112

Independence Medical, PA is a Geriatric Medicine (Family Medicine) Physician in Smithfield, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

515 Barbour Rd
Smithfield, NC 27577-7698
Phone: (919) 544-4747
Fax: (919) 544-0104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence 36493 (NC)

Record details

NPI number1700845112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernard Bennett — President · (919) 622-8272
NPI enumeratedMarch 23, 2006
Last updated in NPPESOctober 31, 2013
Mailing address1209 Falls Bridge Dr, Raleigh, NC 27614-8935