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

Bret Bennett

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457174930

Bret Bennett is a Physician Assistant in Price, Utah. Graduated from Texas Tech University Health Science Center School of Medicine in 2024, 2 years ago. Practices with Eastern Utah Pain, a 2-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
2
Trained at
Texas Tech University Health Science Center School of Medicine
Licensed in
UT
In the registry since
2024
Specialties on file
2

Practice location Address checks out

335 N Fairgrounds Rd
Price, UT 84501-4208
Phone: (435) 650-4105
Show map & directions

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

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 14219291-1206 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457174930
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 4, 2024
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing address13019 Elm Jct Unit 101, San Antonio, TX 78249-4901

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Eastern Utah Pain — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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