Nathan Eric Beneze, M.D.
Individual provider Active NPI Family Medicine Physician · Fort Mohave, AZ
NPI 1346286325 · NPPES record last updated Jul 27, 2026
Key facts
- NPI
- 1346286325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 14102 (AZ)
- Practice address
- 4004 S Beverly Dr
Fort Mohave, AZ 86426-6300 - Phone
- (520) 591-6180
- NPI assigned
- Jun 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- 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 |
|---|---|---|---|---|
| I20101022000499 | AZ | Practitioner - General Practice | 2365635356 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14102 | AZ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prescott Healthcare Solutions LLC | Family Medicine | Current |
Accepting new patients |
Locations
2500 Canyon Rd
Ste A1
Bullhead City, AZ 86442
Phone (928) 704-4499
3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645
8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100
3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583
5981 E Grant Rd
Ste 115
Tucson, AZ 85712
Phone (520) 886-5315
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14102 | AZ | Yes |
Addresses
Primary practice location
4004 S Beverly Dr
Fort Mohave, AZ 86426-6300
Mailing address
4004 S Beverly Dr
Fort Mohave, AZ 86426-6300
Phone (520) 591-6180
Other providers in Fort Mohave, AZ
- Alan Joseph Barton
- Hylie Elaine Barton
- Mervat Basta
- Thomas Baughman
- Richard P Benedict
- Donna Bennett
- Dayna Blake
- Blue River Health & Wellness, PLLC
- Blue Water Internal Medicine Associates P C
- Scott Irwin Boggs
All providers in Fort Mohave, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2026. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.