Benjamin Bethay
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Montgomery, OH
NPI 1003756867 · NPPES record last updated Mar 31, 2026
Key facts
- NPI
- 1003756867
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 10500 Montgomery Rd
Montgomery, OH 45242-4402 - Phone
- (513) 865-1111
- NPI assigned
- Mar 31, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
10500 Montgomery Rd
Montgomery, OH 45242-4402
Mailing address
10500 Montgomery Rd
Montgomery, OH 45242-4402
Other providers in Montgomery, OH
- Jonathan M Beiser
- Joseph Darby Kirkpatrick Bennett
- Andrew Berglund
- Andrea Bernstein
- Erika M Bertke
- Bethesda Inc.
- Shirin Bigdeliazari
- Bassel Bitar
- Jared Blackmore
- Bluebell Home Care LLC
All providers in Montgomery, OH · Student in an Organized Health Care Education/Training Program in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.