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

Daniel A Bentley, PA

Individual provider Surgical Physician Assistant · NPI 1629177647

Daniel A Bentley, PA is a Surgical Physician Assistant in Rockford, Illinois. Licensed in Florida and Illinois. Registered with an NPI since 2006.

Licensed in
FL, IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1401 E State St
Rockford, IL 61104-2315
Phone: (815) 391-6102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085.004313 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9104555 (FL)

Record details

NPI number1629177647
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESJune 28, 2013
Mailing address95 Collier Rd, Suite 5015, Atlanta, GA 30309

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