Jackson Mark Bennett
Jackson Mark Bennett practises Diagnostic Radiology in Roseville, Minnesota. Graduated from Baylor College of Medicine in 2020, 6 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group and accepts Medicare assignment. Licensed in Minnesota, North Dakota and Wisconsin.
- Years since qualifying
- 6
- Trained at
- Baylor College of Medicine
- Licensed in
- MN, ND, WI
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
2355 Hwy 36 W Ste 100Roseville, MN 55113
Phone: (651) 292-2000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 77424 (WI) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 81981 (MN) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 24149 (ND) |
Record details
| NPI number | 1366070328 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 27, 2020 |
| Last updated in NPPES | July 7, 2026 |
| Certification date | July 7, 2026 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | BAYLOR COLLEGE OF MEDICINE |
| Graduated | 2020 (6 years in practice) |
| Group practice | The Medical College Of Wisconsin Inc — 2093 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 16 on file with Medicare |
Practises at
- Community Memorial Hospital Hospital · Menomonee Falls, WI
- Froedtert Memorial Lutheran Hospital Hospital · Milwaukee, WI · listed as Froedtert Memorial Lutheran Hospital, Inc
- St Josephs Community Hospital West Bend Hospital · West Bend, WI · listed as St Josephs Community Hospital of West Bend Inc
- Froedtert Community Hospital Hospital · New Berlin, WI
Colleagues at The Medical College of Wisconsin Inc
- Mahmoud Ali Mohamed Ali, MBBCH Anatomic Pathology & Clinical Pathology Physician · Milwaukee, WI
- Kriti Behl Stefan Registered Nurse · Milwaukee, WI
- Dr. Patrick Christopher Foy Jr., MD Hematology & Oncology Physician · Milwaukee, WI
- Dr. Stephanie Jean Gunderson, MD Obstetrics & Gynecology Physician · Menomonee Falls, WI
- Martha Rocio Hernandez-Krummel, CAA Anesthesiologist Assistant · Menomonee Falls, WI
- MS. Jamie D Kedinger, PA-C, CAA Physician Assistant · Milwaukee, WI
- Naveen M Kulkarni, MBBS Diagnostic Radiology Physician · Milwaukee, WI
- Dr. Silvia Fanny Lara-Moses, MD, PA Glaucoma Specialist (Ophthalmology) Physician · Milwaukee, WI
- James Joseph McCarthy Internal Medicine Physician · Milwaukee, WI
- Karli McManaman Women's Health Nurse Practitioner · Menomonee Falls, WI
- Mr. Timothy L Sie, NP Family Nurse Practitioner · Milwaukee, WI
- Sarah A Villanueva, NP Nurse Practitioner · Milwaukee, WI
Other providers in Roseville
-
Joseph J Baraga, MD
2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 · (651) 292-2000
-
Jeffrey M Barkmeier, MD
2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 · (651) 292-2000
-
Robert Matthew Becker, MD
2355 Hwy 36 W Ste 100, Roseville, MN 55113-3905 · (651) 292-2000
-
Dr. Curt L Behrns, MD
2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 · (651) 292-2000
-
Mark W Berger, MD
2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 · (651) 292-2000
-
Dr. Aaron Binstock, MD
2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 · (952) 837-9700
-
Nathan D Block, MD
2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 · (651) 292-2000
-
John Franklin Brunner, MD
2355 Highway 36 W Ste 100, Roseville, MN 55113-3905 · (651) 292-2000