Active NPI
Bilal Ben Benu
- Contractor
- Red House, VA
National Provider Identifier
1487309092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 49267
- Practice address
- 4380 Rolling Hill Rd
Red House, VA 23963-6362 - Phone
- (540) 998-3727
- NPI assigned
- Feb 14, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 49267 | SC | Primary |
Addresses
Primary practice location
4380 Rolling Hill Rd
Red House, VA 23963-6362
Mailing address
4380 Rolling Hill Rd
Red House, VA 23963-6362
Phone (540) 998-3727
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 |
|---|---|---|---|
| 49267 | SC | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1487309092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4380 ROLLING HILL RD",
"city": "RED HOUSE",
"state": "VA",
"postal_code": "239636362",
"telephone_number": "540-998-3727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4380 ROLLING HILL RD",
"city": "RED HOUSE",
"state": "VA",
"postal_code": "239636362",
"telephone_number": "540-998-3727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENU",
"first_name": "BILAL",
"middle_name": "BEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-14",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "SC",
"license": "49267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red House, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.