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

Dr. Brock Tanner Bennett, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578092193

Dr. Brock Tanner Bennett, MD is a Vascular Surgery in Medford, Oregon. Graduated from University of Arizona College of Medicine - Phoenix in 2017, 9 years ago. Practices with Oregon Surgical Specialists PC, a 21-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
9
Trained at
University of Arizona College of Medicine - Phoenix
Licensed in
OR
In the registry since
2017
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

520 Medical Center Dr Ste 300
Medford, OR 97504-4316
Phone: (541) 930-8907
Fax: (541) 245-4820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence MD218720 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Surgery Physician Taxonomy 208600000X · Licence MD218720 (OR)

Record details

NPI number1578092193
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 7, 2017
Last updated in NPPESJuly 25, 2024
Certification dateJuly 16, 2024
Mailing address520 Medical Center Dr Ste 300, Medford, OR 97504-4316

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE - PHOENIX
Graduated 2017 (9 years in practice)
Group practice Oregon Surgical Specialists Pc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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