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

Daniel A Bentley, PA

Individual provider Surgical Physician Assistant · NPI 1629177647

Daniel A Bentley, PA is a Surgical Physician Assistant in Rockford, Illinois. Licensed in Florida and Illinois. Registered with an NPI since 2006.

Licensed in
FL, IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1401 E State St
Rockford, IL 61104-2315
Phone: (815) 391-6102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085.004313 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA9104555 (FL)

Record details

NPI number1629177647
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 22, 2006
Last updated in NPPESJune 28, 2013

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