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

Robert Joseph Bennett Jr., MD

Individual provider Family Medicine Physician · NPI 1053479402

Robert Joseph Bennett Jr., MD is a Family Medicine Physician in Canon City, Colorado. Licensed in Colorado. Registered with an NPI since 2006.

Licensed in
CO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

602 Yale Pl
Canon City, CO 81212-4611
Phone: (719) 275-2301
Fax: (719) 275-7048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 13841 (CO)

Record details

NPI number1053479402
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 5, 2006
Last updated in NPPESApril 7, 2011
Mailing address602 Yale Pl, Canon City, CO 81212-4611

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