Brian Benjamin, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4985 Issued in MN

Practice address

304 4TH Ave NE
Waite Park, MN 56387-1236

Phone

(320) 251-0766

NPI assigned

Aug 1, 2007

Last updated

Aug 1, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1477744720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8418 CLINTON AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554202357",
            "telephone_number": "651-261-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 4TH AVE NE",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871236",
            "telephone_number": "320-251-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel J Baumgartner, M.D.
• Bayada Home Health Care, Inc. (BAYADA Pediatrics)
• Courtney Elizabeth Beavers
• Samantha Ray Beck
• Addison Bemboom
• Nicholas Wayne Benner
• Casey Berge
• Aaron Bernu
• Jeremiah Biggar
• Faiza Idle Bile

• Chiropractor in Waite Park, MN
• Providers in Waite Park, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.