Mary Bengtson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27540 Issued in NC

Practice address

2815 Cates Ave
CB 7304
Raleigh, NC 27695-7304

Phone

(919) 515-2563

Fax

(919) 513-1994

NPI assigned

Feb 26, 2007

Sex

Female

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

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• North Carolina State University

  • Student Health Clinic/Center
  • Raleigh, NC
  • NPI 1689951022
  NPD (past)
• North Carolina State University

  • Student Health Clinic/Center
  • Raleigh, NC
  • NPI 1881712842
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508992207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 CATES AVE",
            "address_2": "CB 7304",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276950001",
            "telephone_number": "919-515-2563",
            "fax_number": "919-513-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 CATES AVE",
            "address_2": "CB 7304",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276957304",
            "telephone_number": "919-515-2563",
            "fax_number": "919-513-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGTSON",
        "first_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "27540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Marie Benedict, NP
• Frederick E Benedict, MD
• Randal Maxwell Benefield, D.D.S.
• William Thomas Benesky Jr., PA-C
• Colby Mangun Benevides, MD
• Benjamin Boyles DDS PA
• Benjamin Tosky, D.C., P.a.
• Ann Marie Benjamin, PT
• Jenna Nicole Benjamin, MPT
• Nana Dwemoh Benneh-Hans, M.D.

• Family Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Medicine Physician in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.