Individual provider Active NPI

Breanna Raquel Benjamin, DO

  • Physical Medicine & Rehabilitation Physician
  • Columbus, OH
National Provider Identifier
1447811799
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
34.015480 Issued in OH
Practice address
2050 Kenny Rd Ste 3300
Columbus, OH 43221-3502
Phone
(614) 366-9211
Fax
(614) 366-2210
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 34.015480 OH
Physical Medicine & Rehabilitation Physician 208100000X 34.015480 OH Primary

Addresses

Primary practice location

2050 Kenny Rd Ste 3300
Columbus, OH 43221-3502

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 366-9211

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240813004274 OH Practitioner - Physical Medicine and Rehabilitation 1557809217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Ohio University, College of Osteopathic Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu Physical Medicine and Rehabilitation LLCGroup PAC ID 7012960644, 35 clinicians
Osu Internal Medicine LLCGroup PAC ID 5496651408, 1,141 clinicians

Practice addresses (Care Compare)

2050 Kenny Rd
Columbus, OH 43221-3502
Phone (614) 366-9211

2835 Fred Taylor Dr
Columbus, OH 43202-1552
Phone (614) 293-2663

3900 Stoneridge LN
Dublin, OH 43017-2288
Phone (614) 366-5001

6515 Pullman Dr
Lewis Center, OH 43035-7380
Phone (614) 688-7140

6700 University Blvd
Dublin, OH 43016-3508
Phone (614) 814-7777

Hospital & facility affiliations

  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • Ohio State University Hospital Inpatient rehabilitation facility, Columbus, OH, CCN 36T085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.015480OHMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osu Internal Medicine, LLC Physical Medicine & Rehabilitation CurrentSince Oct 1, 2024 Accepting new patients
Osu Physical Medicine and Rehabilitation, LLC Physical Medicine & Rehabilitation CurrentSince Jul 1, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

2050 Kenny Rd
Columbus, OH 43221
Phone (614) 293-8054

1875 Millikin Rd
Columbus, OH 43210
Phone (614) 292-0110

480 Medical Center Dr
Columbus, OH 43210
Phone (614) 293-3830

2050 Kenny Rd
Ste 3300
Columbus, OH 43221
Phone (614) 366-9211

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

6700 University Blvd
Dublin, OH 43016
Phone (614) 685-4614

3900 Stoneridge Ln
Dublin, OH 43017
Phone (614) 366-5001

6515 Pullman Dr
Lewis Center, OH 43035
Phone (614) 688-7140

Interoperability endpoints

  • Direct secure messaging: bbenjamin1234082@direct.osumc.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1447811799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-366-9211",
            "fax_number": "614-366-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 KENNY RD STE 3300",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213502",
            "telephone_number": "614-366-9211",
            "fax_number": "614-366-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "BREANNA",
        "middle_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "OH",
            "license": "34.015480",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "34.015480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.