Individual provider Active NPI

Brittany Michelle Benjamin, M.D.

  • Pediatrics Physician
  • Florence, SC
National Provider Identifier
1306378542
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
84988 Issued in SC
Practice address
204 E Cheves St
Florence, SC 29506-2647
Phone
(843) 777-5064
Fax
(843) 777-7762
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 84988 SC Primary

Addresses

Primary practice location

204 E Cheves St
Florence, SC 29506-2647

Mailing address

204 E Cheves St
Florence, SC 29506-2647
Phone (843) 777-5064

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20210414000778 SC Practitioner - Pediatric Medicine 5991123937 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Physician Associates II Pediatrics CurrentSince Apr 1, 2021 Accepting new patients
McLeod Physician Associates II CurrentSince Apr 1, 2021 Accepting new patients

Locations

800 E Cheves St
Ste 480A
Florence, SC 29506
Phone (843) 777-7337

800 E Cheves St
Ste 240
Florence, SC 29506
Phone (843) 777-7950

3013B W Palmetto St
Florence, SC 29501
Phone (843) 777-9340

506 E Cheves St
#202
Florence, SC 29506

204 E Cheves St
Florence, SC 29506
Phone (843) 777-5065

Interoperability endpoints

  • Direct secure messaging: bbenjamin18705@directmcleodehealth.org

Organizations & group practices 2

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1306378542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062647",
            "telephone_number": "843-777-5064",
            "fax_number": "843-777-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CHEVES ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062647",
            "telephone_number": "843-777-5064",
            "fax_number": "843-777-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "BRITTANY",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "SC",
            "license": "84988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

Verify at the official NPI Registry.