Benezra Gynecology

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

ME89256 Issued in FL

Legal business name

BENEZRA GYNECOLOGY

Doing business as

Benezra Gynecology LLC
Benezra Women's Care, LLC

Practice address

129 W Hibiscus Blvd
Ste a
Melbourne, FL 32901

Phone

(321) 405-3000

Fax

(321) 722-7070

NPI assigned

Feb 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Victor Benezra, MDNPI 1235122896

Title

Physician

Phone

(305) 975-7407

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Benezra Gynecology LLC Doing business as
• Benezra Women's Care, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCJEBD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victor Benezra, MD

  • Gynecology Physician
  • Melbourne, FL
  • NPI 1235122896
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1225537731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W HIBISCUS BOULEVARD SUITE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013006",
            "telephone_number": "321-405-3000",
            "fax_number": "321-722-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W HIBISCUS BLVD",
            "address_2": "STE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32901",
            "telephone_number": "321-405-3000",
            "fax_number": "321-722-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEZRA GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "BENEZRA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-975-7407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME89256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "1QMNM",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benezra Gynecology LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Benezra Women's Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalia Bembetova
• Amira Ben Drif Tolles, PTA
• Benah Counseling LLC
• Marianne Benek-Edwards, PT
• Sarah Benenson
• Victor Benezra, MD
• Gregory Benke, M.D.
• Sallie Keaten Benke, M.D.
• Stephany Benken
• Robert Joseph Benkendorf, MD

• Gynecology Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.