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

Justin David Bennet, MDPHD

Individual provider Gastroenterology Physician · NPI 1134299308

Justin David Bennet, MDPHD is a Gastroenterology in Santa Cruz, California. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1990, 36 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
36
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
VA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

1505 Soquel Dr SUITE12
Santa Cruz, CA 95065-1716
Phone: (831) 713-5050
Fax: (831) 475-0101
Show map & directions

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

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 0101840379 (VA)
Hepatology Physician Taxonomy 207RI0008X · Licence 0101840379 (VA)

Record details

NPI number1134299308
Entity typeIndividual (Type 1)
GenderMale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESJune 15, 2012

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Santa Cruz