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

Dr. Jonathan James Bennett, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003479171

Dr. Jonathan James Bennett, MD is a Family Practice in Watertown, Minnesota. Graduated from Tulane University School of Medicine in 2019, 7 years ago. Practices with Lakeview Clinic, Ltd, a 53-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
7
Trained at
Tulane University School of Medicine
Licensed in
MN
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

313 Territorial St E
Watertown, MN 55388-9284
Phone: (952) 955-1921
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 71173 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003479171
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 15, 2019
Last updated in NPPESDecember 20, 2023
Certification dateDecember 19, 2023
Mailing address424 Mn-5, Waconia, MN 55387

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Lakeview Clinic, Ltd. — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount