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

Dr. Jonathan Christopher Bennett, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1073734794

Dr. Jonathan Christopher Bennett, MD is a Pathology in Phoenix, Arizona. Graduated from Wayne State University School of Medicine in 2001, 25 years ago. Practices with Clin-Path Pathology, a 30-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona, Indiana, Michigan and Vermont.

Years since qualifying
25
Trained at
Wayne State University School of Medicine
Licensed in
AZ, IN, MI, VT
In the registry since
2007
Specialties on file
4
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

424 S 56th St Ste 110
Phoenix, AZ 85034-2177
Phone: (602) 685-5166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 2799 W Grand Blvd, Detroit, MI 48202-2689 — (800) 653-6568
  • 205 N East Ave, Jackson, MI 49201-1753 — (517) 205-4800
  • 5301 Virginia Way, Brentwood, TN 37027-7541 — (615) 221-4474

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 67958 (AZ)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 0600003440 (VT)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 4301504318 (MI)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 99058473A (IN)

Record details

NPI number1073734794
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022
Mailing addressPo Box 42210, Phoenix, AZ 85080-2210

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2001 (25 years in practice)
Group practice Clin-Path Pathology — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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