Paul Benson DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

PB007480 Issued in MI

Legal business name

PAUL BENSON DO PC

Practice address

1964 11 Mile Rd
Berkley, MI 48072-3046

Phone

(248) 544-9300

Fax

(248) 544-1149

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul Benson, M.D.NPI 1174554364

Title

President/Owner

Phone

(248) 544-9300

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• BE WELL MEDICAL CENTER Doing business as

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

CLIA laboratory certificates

Practitioners 1

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

• Paul Alan Benson, D.O.

  • Family Medicine Physician
  • Berkley, MI
  • NPI 1174554364
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1306860069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1964 11 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723046",
            "telephone_number": "248-544-9300",
            "fax_number": "248-544-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 11 MILE RD",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480723046",
            "telephone_number": "248-544-9300",
            "fax_number": "248-544-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL BENSON DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "248-544-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "PB007480",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "JR070068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN GROUP #",
            "identifier": "G07355",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "700F372040",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BE WELL MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madelyn Palmieri, MA,,LLP
• Paola M Seidel M D PLLC
• Racquel Parker, FNP-BC
• Dorothy Pasikowski, D.D.S.
• Pari Patel
• Alex S Paul
• Sander J Paul, M.D.
• Peace of Mind Therapy, PLLC
• Perry Drug Stores Inc and Subsidiaries
• Judy Perry, RDH

• Family Medicine Physician in Berkley, MI
• Providers in Berkley, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.