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

Individual provider Physician Assistant · NPI 1235008327

Bennett Virginia Prosser is a Physician Assistant in Matthews, North Carolina. Graduated from Philadelphia College of Osteopathic Medicine in 2025, 1 year ago. Licensed in North Carolina.

Years since qualifying
1
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NC
In the registry since
2025
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Practice location Address checks out

1517 Elmsford Ln
Matthews, NC 28105-7217
Phone: (704) 681-0307
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-15989 (NC)

Record details

NPI number1235008327
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025
Mailing address1517 Elmsford Ln, Matthews, NC 28105-7217

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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