Active NPI
Robert R Benner, MD
- Obstetrics & Gynecology Physician
- Pittsfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 75676
- Practice address
- 777 North St
Suite 301
Pittsfield, MA 01201 - Phone
- (413) 499-8570
- Fax
- (413) 499-8565
- NPI assigned
- Nov 4, 2005
- Last updated
- May 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 75676 | MA | Primary |
Addresses
Primary practice location
777 North St
Suite 301
Pittsfield, MA 01201
Mailing address
777 North Street
Pittsfield, MA 01201
Phone (413) 499-8570
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000022178 | Other | BMC HEALTH NET PLAN | |
| 043517461 | Other | CHAMPUS | |
| 32596 | Other | HEALTHY START | |
| 10034446 | Other | CAPITAL DISTRICT PHP | |
| 3094561 | Medicaid | MA | |
| 0000799 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 043517461 | Other | HMC PPO | |
| 153344 | Other | MVP SELECT | |
| 043517461 | Other | NO AMERICAN ADMIN | |
| 160052693 | Other | MEDICARE RAILROAD | |
| J12595 | Other | BLUE SHIELD | |
| 2345333 | Other | AETNA | |
| 80314 | Other | GIC INDEMNITY PLAN | |
| 043517461 | Other | HCVM FIRST HEALTH | |
| 043517461 | Other | CIGNA | |
| 10540 | Other | HEATH NEW ENGLAND | |
| F29387 | Other | HARVARD COMM HEALTH | |
| J12595 | Other | HMO BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Pittsburgh School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2695
725 N Street Berkshire OB/GYN of
Mbu
Pittsfield, MA 01201-4109
Phone (413) 499-8570
780 S Main St
Suite 2
Great Barrington, MA 01230-2149
Phone (413) 447-2498
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29961 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Faculty Services Inc | Current | Accepting new patients | |
| Fairview Hospital | Current | Accepting new patients | |
| Berkshire Faculty Services | Obstetrics & Gynecology | Past | Accepting new patients |
| Berkshire Medical Center Inc. | Past | Accepting new patients |
Locations
780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
777 North St
Ste 301
Pittsfield, MA 01201
Phone (413) 499-8568
Interoperability endpoints
- robertbenner@bfs.medalliesdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
-
dba East Mountain Medical
- Rural Health Clinic/Center
- Great Barrington, MA
- NPI 1881252286
-
- Obstetrics & Gynecology Physician
- Pittsfield, MA
- NPI 1265423008
-
dba Berkshire Community Pharmacy of North Adams
- Community/Retail Pharmacy
- North Adams, MA
- NPI 1932649753
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
- Critical Access Hospital
- Great Barrington, MA
- NPI 1730112251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495411200000",
"number": "1346231529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 NORTH STREET",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "01201",
"telephone_number": "413-499-8570",
"fax_number": "413-499-8565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 NORTH ST",
"address_2": "SUITE 301",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "01201",
"telephone_number": "413-499-8570",
"fax_number": "413-499-8565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNER",
"first_name": "ROBERT",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2017-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "75676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTH NET PLAN",
"identifier": "000000022178",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "043517461",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHY START",
"identifier": "32596",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL DISTRICT PHP",
"identifier": "10034446",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3094561",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0000799",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMC PPO",
"identifier": "043517461",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP SELECT",
"identifier": "153344",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NO AMERICAN ADMIN",
"identifier": "043517461",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "160052693",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "J12595",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2345333",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GIC INDEMNITY PLAN",
"identifier": "80314",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCVM FIRST HEALTH",
"identifier": "043517461",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "043517461",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEATH NEW ENGLAND",
"identifier": "10540",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD COMM HEALTH",
"identifier": "F29387",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "J12595",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.