Benjamin Brewster, MD
Individual provider Active NPI Surgery Physician · Lebanon, IN
NPI 1316100423 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1316100423
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 01075061A (IN)
- Practice address
- 2705 N Lebanon St Ste 365
Lebanon, IN 46052-8621 - Phone
- (765) 485-8820
- Fax
- (765) 485-8829
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Witham Memorial Hospital
Practice addresses (Care Compare)
2705 N Lebanon St
Suite 265
Lebanon, IN 46052-8621
Phone (765) 485-8730
Hospital & facility affiliations
- Witham Health Services
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 26 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150504001937 | IN | Practitioner - General Surgery | 7810134525 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Witham Memorial Hospital | Current |
Accepting new patients | |
| Witham Memorial Hospital | Current |
Accepting new patients |
Locations
407 E Market St
Crawfordsvlle, IN 47933
Phone (317) 528-4251
2705 N Lebanon St
Ste 365
Lebanon, IN 46052
Phone (765) 485-8340
2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000
2705 N Lebanon St
Ste 305
Lebanon, IN 46052
Phone (765) 485-8677
2705 N Lebanon St
Ste 265
Lebanon, IN 46052
Phone (765) 485-8730
2505 N Lebanon St
Ste 220
Lebanon, IN 46052
Phone (765) 482-8649
6085 Heartland Dr
Ste 204
Zionsville, IN 46077
Phone (317) 768-2134
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01075061A | IN | Yes |
Addresses
Primary practice location
2705 N Lebanon St Ste 365
Lebanon, IN 46052-8621
Mailing address
2605 N Lebanon St
Lebanon, IN 46052-1476
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201105310 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbrewster@withamdirect.org | Health Information Exchange (HIE) | Witham Memorial Hospital |
Other providers in Lebanon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.