Individual provider Active NPI

Benjamin Aleksander Parshook

  • Independent Duty Corpsman
  • Jacksonville, FL
National Provider Identifier
1316756190
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
6213 Aviation Ave BLDG 1846
Jacksonville, FL 32221-8113
Phone
(904) 594-6864
NPI assigned
Jan 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Primary
Basic Emergency Medical Technician 146N00000X 1321-1450-4619

Addresses

Primary practice location

6213 Aviation Ave BLDG 1846
Jacksonville, FL 32221-8113

Mailing address

6213 Aviation Ave BLDG 1846
Jacksonville, FL 32221-8113

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

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1316756190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6213 AVIATION AVE BLDG 1846",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322218113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6213 AVIATION AVE BLDG 1846",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322218113",
            "telephone_number": "904-594-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSHOOK",
        "first_name": "BENJAMIN",
        "middle_name": "ALEKSANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": null,
            "license": "1321-1450-4619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.