Benjamin Gregory Chism Jr., BSBME, CCDS, CEPS

Primary specialty

Biomedical EngineerTaxonomy code 246ZB0301X

Practice address

3644 Biltmore Ave
Tallahassee, FL 32311-5701

Phone

(904) 238-3770

NPI assigned

Nov 14, 2017

Sex

Male

Sole proprietor

Yes

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": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1518470384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3644 BILTMORE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323115701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3644 BILTMORE AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323115701",
            "telephone_number": "904-238-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISM",
        "first_name": "BENJAMIN",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "BSBME, CCDS, CEPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZB0301X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Biomedical Engineering",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Specialist/Technologist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Other Specialist/Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.