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

Independence Health PA

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1184882094

Independence Health PA provides Geriatric Medicine (Internal Medicine) Physician services in Smithfield, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

515 Barbour Rd
Smithfield, NC 27577-7698 Not confirmed with CMS for 12 years — call before visiting
Phone: (919) 934-6017
Fax: (919) 934-2057
Show map & directions

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

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 36492 (NC)

Record details

NPI number1184882094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bernard Bennett — President · (919) 622-8272
NPI enumeratedMay 28, 2008
Last updated in NPPESOctober 31, 2013
Mailing address1209 Falls Bridge Dr, Raleigh, NC 27614-8935