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

Wayne David Leroy Bentham, MD

Individual provider Psychosomatic Medicine Physician · NPI 1609952407

Wayne David Leroy Bentham, MD is a Psychiatry in Vadnais Heights, Minnesota. Graduated from Howard University College of Medicine in 1997, 29 years ago. Practices with Danielle Golden, CRNA, PA, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Wisconsin.

Years since qualifying
29
Trained at
Howard University College of Medicine
Licensed in
MN, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3640 Talmage Cir Ste 216
Vadnais Heights, MN 55110-7100
Phone: (952) 431-5330
Fax: (952) 431-5334
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 68407 (MN)
Psychosomatic Medicine Physician Taxonomy 2084P0015X · Licence 62533-20 (WI)
Psychiatry Physician Taxonomy 2084P0800X · Licence 62533-20 (WI)

Record details

NPI number1609952407
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 27, 2006
Last updated in NPPESFebruary 28, 2023
Certification dateFebruary 28, 2023
Mailing address3640 Talmage Cir Ste 216, Vadnais Heights, MN 55110-7100

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolHOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Danielle Golden, Crna, Pa — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare