Individual provider · Type 1 NPI

Jason B. Bennett, MD

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Grand Rapids, MI

NPI number 1295757631 Active

Practice location

770 Kenmoor Ave SE Ste 301
Grand Rapids, MI 49546-8621

Fax (616) 290-1877

Specialties and licenses

Taxonomy	Code	License
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Primary	207VF0040X	4301076635 (MI)

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…

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About NPI 1295757631

Jason B. Bennett, MD's National Provider Identifier is 1295757631, issued on Jul 24, 2006. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (207VF0040X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 5, 2026.