Active NPI
Benjamin Medical PLLC
- Internal Medicine Physician
- Olympia, WA
National Provider Identifier
1124357652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BENJAMIN MEDICAL PLLC
- Practice address
- 1340 Allegheny CT SE
Olympia, WA 98503-1905 - Phone
- (360) 742-4617
- NPI assigned
- Dec 11, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sabrina Ann Benjamin, M.D.
- Title
- Owner
- Phone
- (360) 742-4617
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1340 Allegheny CT SE
Olympia, WA 98503-1905
Mailing address
1340 Allegheny CT SE
Olympia, WA 98503-1905
Phone (360) 742-4617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Olympia, WA
- NPI 1447280334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260489600000",
"number": "1124357652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 ALLEGHENY CT SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985031905",
"telephone_number": "360-742-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 ALLEGHENY CT SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985031905",
"telephone_number": "360-742-4617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENJAMIN MEDICAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-11",
"last_updated": "2009-12-11",
"status": "A",
"authorized_official_last_name": "BENJAMIN",
"authorized_official_first_name": "SABRINA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-742-4617",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.