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

Michael J Bentley Jr.

Individual provider Physician Assistant · NPI 1760842355

Michael J Bentley Jr. is a Physician Assistant in St Petersburg, Florida. Qualified in 2015, 11 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2016
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Practice location Address checks out

6775 Crosswinds Dr N
St Petersburg, FL 33710-5471
Phone: (727) 381-8006
Fax: (727) 381-9629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9109390 (FL)

Record details

NPI number1760842355
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 25, 2016
Last updated in NPPESFebruary 20, 2017
Mailing address6775 Crosswinds Dr N, St Petersburg, FL 33710-5471

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in St Petersburg