Benjamin B Fann, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

33034 Issued in NC

Practice address

838 State Farm Rd
Suite 2
Boone, NC 28607-5391

Phone

(828) 386-1001

Fax

(828) 358-1317

NPI assigned

Nov 30, 2005

Last updated

Jul 19, 2012By 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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Evergreen Womens Health Center

  • Gynecology Physician
  • Asheville, NC
  • NPI 1952510265
  NPD (past) Authorized official
• Mountaineer Medical Services, PLLC

  • General Practice Physician
  • Boone, NC
  • NPI 1760761258
  NPD (past)
• Total Integrated Health Services

  • Family Medicine Physician
  • Boone, NC
  • NPI 1548344344
  NPD (past)

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1255315560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 STATE FARM RD",
            "address_2": "SUITE 2",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075391",
            "telephone_number": "828-386-1001",
            "fax_number": "828-358-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "838 STATE FARM RD",
            "address_2": "SUITE 2",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075391",
            "telephone_number": "828-386-1001",
            "fax_number": "828-358-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANN",
        "first_name": "BENJAMIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "33034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "2337582",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7931142",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31142",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "07070484",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochelle Renee' Evans, DR., LPC
• Evergreen Counseling and Wellness, PLLC
• Eyecarecenter OD PA
• Mel Falck, LCMHCA
• Family Eye Care Center PA
• Tatjana Farley
• Holly C. Farr, REGISTERED NURSE
• Margaret Elizabeth Farrington, MA, LPC
• Jonathan Farrior, RDN, LDN
• Fastmed Urgent Care PC

• General Practice Physician in Boone, NC
• Providers in Boone, NC by specialty
• General Practice Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.