Victoria Grace Benes, DO
Individual provider Active NPI Pediatrics Physician · Opelika, AL
NPI 1326536210 · NPPES record last updated Jun 25, 2021
Key facts
- NPI
- 1326536210
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- DO.2567 (AL)
- Practice address
- 2901 Corporate Park Dr
Opelika, AL 36801-7283 - Phone
- (334) 203-1766
- Fax
- (334) 203-1784
- NPI assigned
- Apr 25, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO.2567 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates of Auburn | Current |
Accepting new patients | |
| The East Alabama Health Care Authority | Past | Accepting new patients |
Locations
2901 Corporate Park Dr
Opelika, AL 36801
Phone (334) 203-1766
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DO.2567 | AL | Yes |
Addresses
Primary practice location
2901 Corporate Park Dr
Opelika, AL 36801-7283
Mailing address
2901 Corporate Park Dr
Opelika, AL 36801-7283
Phone (334) 203-1766
Other providers in Opelika, AL
- Patricia Vickery Beam
- Beauregard Drugs Inc
- Sherri Beckwith
- Laura Walton Bell
- Benchmark Physical Therapy of Alabama, LLC
- Christine Benitez
- Jon Nathan Benson
- Kressida Cain Benson
- Morris Scott Benson
- Brian Walter Bernstein
All providers in Opelika, AL · Pediatrics Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.