Nathan Eric Beneze, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14102 Issued in AZ

Practice address

4004 S Beverly Dr
Fort Mohave, AZ 86426-6300

Phone

(520) 591-6180

NPI assigned

Jun 20, 2006

Last updated

Jul 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Prescott Healthcare Solutions LLC

  dba Optima Medical

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  Medicare reassignment NPD

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1346286325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 S BEVERLY DR",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266300",
            "telephone_number": "520-591-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 S BEVERLY DR",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266300",
            "telephone_number": "520-591-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEZE",
        "first_name": "NATHAN",
        "middle_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "14102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Joseph Barton, MD
• Hylie Elaine Barton, BCBA
• Mervat Basta, M.D.
• Thomas Baughman, L.I.S.A.C.
• Richard P Benedict, MD
• Donna Bennett
• Dayna Blake, FNP- BC
• Blue River Health & Wellness, PLLC
• Blue Water Internal Medicine Associates P C
• Scott Irwin Boggs, DPM

• Family Medicine Physician in Fort Mohave, AZ
• Providers in Fort Mohave, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.