Active NPI
Benjamin Behrendt, DC
- Neurology Chiropractor
- Marietta, GA
National Provider Identifier
1407291461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- CHIR009123
- Practice address
- 4000 Riverlook Pkwy SE
Unit 208
Marietta, GA 30067-4846 - Phone
- (906) 361-2348
- NPI assigned
- May 5, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | CHIR009123 | GA | Primary |
Addresses
Primary practice location
4000 Riverlook Pkwy SE
Unit 208
Marietta, GA 30067-4846
Mailing address
4000 Riverlook Pkwy SE
Unit 208
Marietta, GA 30067-4846
Phone (906) 361-2348
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009123 | GA | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuroworks Healthcare LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Marietta, GA
- NPI 1972091460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367712000000",
"number": "1407291461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 RIVERLOOK PKWY SE",
"address_2": "UNIT 208",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300674846",
"telephone_number": "906-361-2348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 RIVERLOOK PKWY SE",
"address_2": "UNIT 208",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300674846",
"telephone_number": "906-361-2348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHRENDT",
"first_name": "BENJAMIN",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-05",
"last_updated": "2013-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "GA",
"license": "CHIR009123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.