Active NPI
Johnny C. Benjamin Jr., M.D.
- Orthopaedic Surgery of the Spine Physician
- Vero Beach, FL
National Provider Identifier
1265464168
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective Feb 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- ME 0070165
- Practice address
- 1355 37TH St
Suite 301
Vero Beach, FL 32960-7320 - Phone
- (772) 978-7808
- Fax
- (772) 978-9320
- NPI assigned
- Jul 7, 2006
- Last updated
- Sep 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | ME 0070165 | FL | Primary |
Addresses
Primary practice location
1355 37TH St
Suite 301
Vero Beach, FL 32960-7320
Mailing address
1355 37TH St
Suite 301
Vero Beach, FL 32960-7320
Phone (772) 978-7808
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250692100 | Medicaid | FL | |
| 28917 | Other | FL | BLUE CROSS BLUE SHIELD FL |
| 4295190001 | Other | FL | PALMETTO |
| 200040285 | Other | FL | RAILROAD MEDICARE |
| 593604327 | Other | FL | CHAMPUS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 0070165 | FL | MD | Orthopaedic Surgery of the Spine Physician |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Vero Beach, FL
- NPI 1770601866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789257600000",
"number": "1265464168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1355 37TH ST",
"address_2": "SUITE 301",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329607320",
"telephone_number": "772-978-7808",
"fax_number": "772-978-9320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1355 37TH ST",
"address_2": "SUITE 301",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329607320",
"telephone_number": "772-978-7808",
"fax_number": "772-978-9320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "JOHNNY",
"middle_name": "C.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "FL",
"license": "ME 0070165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250692100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD FL",
"identifier": "28917",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO",
"identifier": "4295190001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200040285",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "593604327",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.