Organization Active NPI

Benner Medical Group PA

  • Internal Medicine Physician
  • Solomons, MD
National Provider Identifier
1407970809
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BENNER MEDICAL GROUP PA
Practice address
14090 HG Trueman Rd Ste 2300-710
Solomons, MD 20688-3151
Phone
(410) 449-6602
Fax
(410) 499-6605
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Authorized official

Name
Dr. Charles Myron Benner, MDNPI 1902872435
Title
Partner
Phone
(410) 499-6602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

14090 HG Trueman Rd Ste 2300-710
Solomons, MD 20688-3151

Mailing address

14090 HG Trueman Rd Ste 2300-710
Solomons, MD 20688-3151
Phone (410) 449-6602

Other identifiers 1

IdentifierTypeStateIssuer
468851101MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081008000525 MD Part B Supplier - Clinic/Group Practice 9537186952 Receives reassigned benefits from 4 practitioners
Practice locations: California, MD; Solomons, MD; Lexington Park, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0213505Benner Medical Group PA14090 HG Trueman Road Suite 2300, Solomons, MD 20688Certificate of waiverOct 6, 2026

National Provider Directory

National Provider Directory

Locations

20945 Great Mills Rd
Lexington Park, MD 20653
Phone (301) 862-2505

14090 Hg Trueman Rd
Ste 2300710
Solomons, MD 20688
Phone (301) 593-8500

14090 Hg Trueman Rd
Ste 2300
Solomons, MD 20688
Phone (410) 394-3712

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1407970809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14090 HG TRUEMAN RD STE 2300-710",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "206883151",
            "telephone_number": "410-449-6602",
            "fax_number": "410-499-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 HG TRUEMAN RD STE 2300-710",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "206883151",
            "telephone_number": "410-449-6602",
            "fax_number": "410-499-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNER MEDICAL GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "BENNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MYRON",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-499-6602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "468851101",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solomons, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.