Paul Alan Benson, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101007480 Issued in MI

Practice address

1964 11 Mile Rd
Suite 1
Berkley, MI 48072-3046

Phone

(248) 544-9300

Fax

(248) 544-1148

NPI assigned

Jul 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Healthcare Professionals PCGroup PAC ID 0345413258, 525 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pbenson1117215@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michigan Healthcare Professionals PC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1295023547

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Paul Benson DO PC

  dba Be Well Medical Center

  • Family Medicine Physician
  • Berkley, MI
  • NPI 1306860069
  NPD (past) Authorized official
• Michigan Healthcare Professionals PC

  dba Urology Specialist of Michigan

  • Durable Medical Equipment & Medical Supplies
  • Lapeer, MI
  • NPI 1992693303

  General Practice

  NPD
• Community Health Awareness Group

  • Community/Behavioral Health Agency
  • Detroit, MI
  • NPI 1417384223
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174554364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 11 MILE RD",
            "address_2": "SUITE 1",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723046",
            "telephone_number": "248-544-9300",
            "fax_number": "248-544-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 11 MILE RD",
            "address_2": "SUITE 1",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723046",
            "telephone_number": "248-544-9300",
            "fax_number": "248-544-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "PAUL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101007480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP #",
            "identifier": "G07355",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "PB007480",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID #",
            "identifier": "11271806",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Becker Orthopedic Appliance Company
• Mark Bennett
• Berkley Dental PC
• Berkley Eyewear LLC
• Berkley Family Dental PLLC (Berkley Family Dental)
• Berkley Holistic Alternative LLC
• Berkley Medical Center Pharmacy LLC

• Family Medicine Physician in Berkley, MI
• Providers in Berkley, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.