Individual provider Active NPI

Benjamin Adam Eyer, MD

  • Diagnostic Radiology Physician
  • Brentwood, TN
National Provider Identifier
1205053733
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A95046 Issued in CA
Practice address
8 Cadillac Dr Ste 200
Brentwood, TN 37027-5316
Phone
(615) 376-7370
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A95046 CA Primary

Addresses

Primary practice location

8 Cadillac Dr Ste 200
Brentwood, TN 37027-5316

Mailing address

115 N Wetherly Dr Apt 101
Los Angeles, CA 90048-2811
Phone (310) 923-6255

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091012000128 CA Practitioner - Diagnostic Radiology 0547306250 Reassigns benefits to 6 organizations
I20170906000997 TN Practitioner - Diagnostic Radiology 0547306250

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard Simon MD PLLCGroup PAC ID 7214369966, 61 clinicians
Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians
Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Practice addresses (Care Compare)

1036 Breakaway Dr
Oceanside, CA 92057-1912
Phone (480) 306-6949

15775 Laguna Canyon Rd
Suite 140
Irvine, CA 92618-3190
Phone (949) 522-8120

24 Pacific GRV
Irvine, CA 92602-1017
Phone (480) 306-6949

8370 Wilshire Blvd
110 Simonmed Imaging Beverly Hills Stand Up
Beverly Hills, CA 90211-2334
Phone (323) 966-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
95046CAMDMarriage & Family Therapist
A95046CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Jan 28, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 20, 2024 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jan 28, 2025 Accepting new patients
I V Radiology Medical Group Diagnostic Radiology CurrentSince Jul 3, 2011 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Jan 28, 2025 Accepting new patients
Howard Simon MD PLLC Diagnostic Radiology CurrentSince Jan 28, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 20, 2024 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Crown Valley Radiologist PastSince Feb 15, 2024 Accepting new patients

Locations

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

155 N San Vicente Blvd
#1182
Beverly Hills, CA 90211
Phone (323) 433-7800

8370 Wilshire Blvd
Ste 110
Beverly Hills, CA 90211
Phone (323) 966-0000

455 Hickey Blvd
Ste 200
Daly City, CA 94015
Phone (650) 757-2030

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

15775 Laguna Canyon Rd
Irvine, CA 92618
Phone (617) 455-2048

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1205053733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N WETHERLY DR APT 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900482811",
            "telephone_number": "310-923-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CADILLAC DR STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275316",
            "telephone_number": "615-376-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYER",
        "first_name": "BENJAMIN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A95046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.