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

Jacob Marcus Bendorf

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1295549251

Jacob Marcus Bendorf is a Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

580 Massie Rd
Charlottesville, VA 22903-1738
Phone: (735) 492-4434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1295549251
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 1, 2025
Last updated in NPPESFebruary 1, 2025
Certification dateFebruary 1, 2025
Mailing address14814 Hunting Path Pl, Centreville, VA 20120-1230

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