Active NPI
Brent Whitcombe Benson, D.C.
- Chiropractor
- Cody, WY
National Provider Identifier
1508919507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 600
- Practice address
- 931 13TH St
Cody, WY 82414-3603 - Phone
- (307) 587-1234
- Fax
- (307) 587-4311
- NPI assigned
- Jan 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 600 | WY | Primary |
Addresses
Primary practice location
931 13TH St
Cody, WY 82414-3603
Mailing address
931 13TH St
Cody, WY 82414-3603
Phone (307) 587-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314146 | Other | WY | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060411000112 | WY | Practitioner - Chiropractic | 6204845845 | Practice locations: Cody, WY |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
902 Blackburn St
Suite D
Cody, WY 82414-8494
Phone (307) 587-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600 | WY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chinook Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Vincent Kalkowski DC PC | Chiropractor | Past | Accepting new patients |
Locations
902 Blackburn St
Ste D
Cody, WY 82414
Phone (307) 587-1234
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Cody, WY
- NPI 1437092764
-
- Chiropractor
- Cody, WY
- NPI 1285756346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508919507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 13TH ST",
"city": "CODY",
"state": "WY",
"postal_code": "824143603",
"telephone_number": "307-587-1234",
"fax_number": "307-587-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "931 13TH ST",
"city": "CODY",
"state": "WY",
"postal_code": "824143603",
"telephone_number": "307-587-1234",
"fax_number": "307-587-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "BRENT",
"middle_name": "WHITCOMBE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WY",
"license": "600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "314146",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.