Benepro P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BENEPRO P.C.

Doing business as

Marina Medical

Practice address

22236 7TH Ave S
Des Moines, WA 98198-6220

Phone

(206) 878-8600

Fax

(206) 878-4001

NPI assigned

Jun 25, 2007

Last updated

Oct 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael C Brown, M.D.

Title

Owner

Phone

(206) 878-8600

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Marina Medical Doing business as

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Benepro, P.C.

  dba Marina Medical

  • Non-Pharmacy Dispensing Site
  • Normandy Park, WA
  • NPI 1588069819
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joy A Christoferson, MSN, ARNP

  • Nurse Practitioner
  • Federal Way, WA
  • NPI 1902977473
  NPD (past)
• Hannah Elizabeth Getty, LMP

  • Massage Therapist
  • Des Moines, WA
  • NPI 1073832416
  NPD (past)
• Martha G Panitch, MD PHD

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1083927008
  NPD (past)
• Tracy Allison Wilton, L.M.P.

  • Massage Therapist
  • Des Moines, WA
  • NPI 1194161125
  NPD (past)
• Allison Scholes, DC

  • Chiropractor
  • Clearfield, UT
  • NPI 1235421124
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1487850590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22236 7TH AVE S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986220",
            "telephone_number": "206-878-8600",
            "fax_number": "206-878-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22236 7TH AVE S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986220",
            "telephone_number": "206-878-8600",
            "fax_number": "206-878-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEPRO P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-878-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA BLUE SHEILD",
            "identifier": "5607MA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DD4023",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marina Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas R Beckman Jr., LPN
• Robin Lucia Becknal, PTA
• Kianoosh Behshid, DDS
• Amy Jene' Bellante, RN
• Brian Adam Benavides
• Catherine Bereznay, ND, MPH, MS
• Ma Kimberley Bernales, DDS
• Big Change Medical (Big Change Consulting)
• Liliya V. Bilan, PA-C
• Brandilyn Jo Binstock, ND

• Family Medicine Physician in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.