Jackson Mark Bennett
Diagnostic Radiology Physician · Roseville, MN
Jackson Mark Bennett is a diagnostic radiology physician with a practice address in Roseville, Minnesota, and NPI 1366070328, issued on Mar 27, 2020. Check the license (Minnesota 81981, as entered in NPPES) on the Minnesota Board of Medical Practice; the Medicare figures below come from public CMS files.
- Name
- Jackson Mark Bennett
- Primary taxonomy
- Diagnostic Radiology Physician 2085R0202X
- License numbers
- 81981 MN
77424 WI
24149 ND
Self-reported in NPPES; status is on the state search - Practice location
- 2355 Hwy 36 W, Roseville, MN 55113
- Phone
- (651) 292-2000
- Enumerated
- Mar 27, 2020
- Record last updated
- Jul 7, 2026
- Medicare enrollment
- Enrolled (PECOS I20250514002925); accepts Medicare assignment
- Medical or professional school
- Baylor College Of Medicine, 2020
- Entity
- Type 1 · individual
8 nearest diagnostic radiology physician records → All 1,700 in Minnesota → Look up another NPI →
Also registered at 2355 Hwy 36 W
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Richard Aizpuru, MDDiagnostic Radiology Physician1558367789
- Siobhan Alexander, M.D.Diagnostic Radiology Physician1871988394
- Mark Allen, M.D.Diagnostic Radiology Physician1134355662
- Kathan AminDiagnostic Radiology Physician1801139142
- Kyle Arslanian, MDDiagnostic Radiology Physician1144752882
- Brent Baldwin, M.D.Diagnostic Radiology Physician1366482028
Verify Jackson Mark Bennett in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMinnesota Board of Medical Practice
Search for license 81981Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Froedtert Andthe Medical College OF Wisconsin Community Physicians IncWauwatosa, WI
- The Medical College OF Wisconsin IncWauwatosa, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jackson Mark Bennett among 1,700 diagnostic radiology physician records in Minnesota
Jackson Mark Bennett is one of 1,700 diagnostic radiology physician records with a practice address in Minnesota. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2020, is newer than 92% of them.
- NPI issued2020 · 92% of these records are older, 6% newer
- In a Medicare fileYes · 79% of these records are
- In the CMS Doctors and Clinicians fileYes · 78% of these records are
- Graduated2020 · median 2003 among the 1,324 with a school on file
- Record last updated2026 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2085R0202X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
211 diagnostic radiology physician records list a practice address in Roseville
They are 211 of the 1,288 NPPES records with a practice address in Roseville, and 1,700 diagnostic radiology physician records in Minnesota.
All 1,700 in Minnesota → Every provider in Roseville → Diagnostic Radiology Physician nationwide →
The 8 diagnostic radiology physician records with the nearest ZIP codes
- Richard Aizpuru, MDRoseville, MN 551131558367789
- Todd Arsenault, MDRoseville, MN 551131902890726
- Martin Asis, MDRoseville, MN 551131598743833
- Matthew Baldwin, MDRoseville, MN 551131487632725
- Joseph Baraga, MDRoseville, MN 551131730167073
- Jeffrey Barkmeier, MDRoseville, MN 551131871571083
- Nathan Block, MDRoseville, MN 551131871571125
- John Caspers, MDRoseville, MN 551131750369989
Common questions
What is Jackson Mark Bennett's NPI number?
Jackson Mark Bennett's National Provider Identifier (NPI) is 1366070328, issued on Mar 27, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Jackson Mark Bennett located?
The NPPES record lists a practice address at 2355 Hwy 36 W, Roseville, MN, 55113. Phone: (651) 292-2000. Providers update this record themselves, so call before visiting.
How can I verify Jackson Mark Bennett's license?
NPPES lists Minnesota license number 81981, as entered by the provider. Search the Minnesota Board of Medical Practice at https://mn.gov/boards/medical-practice/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.