Active NPI
Benner Medical Group PA
- Internal Medicine Physician
- Solomons, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles Myron Benner, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | |||
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 468851101 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D0213505 | Benner Medical Group PA | Certificate of waiver | Oct 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Solomons, MD
- NPI 1902872435
Internal Medicine, MD
-
- Physician Assistant
- Leonardtown, MD
- NPI 1063793222
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.