Individual provider Active NPI

Adam John Benson, M.D.

  • Diagnostic Radiology Physician
  • Missoula, MT
National Provider Identifier
1548250426
Registry record updated Jun 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
11505 Issued in MT
Practice address
3205 S Russell St
Missoula, MT 59801-8536
Phone
(406) 721-4906
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 11505 MT Primary

Addresses

Primary practice location

3205 S Russell St
Missoula, MT 59801-8536

Mailing address

3205 S Russell St
Missoula, MT 59801-8536
Phone (406) 721-4906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080319000601 MT Practitioner - Diagnostic Radiology 1254432065 Reassigns benefits to 4 organizations
I20161219001967 WA Practitioner - Diagnostic Radiology 1254432065 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Polyclinic PLLCGroup PAC ID 2163328196, 364 clinicians
Inland Imaging Associates PSGroup PAC ID 7810327210, 124 clinicians
Inland Imaging LLCGroup PAC ID 6608763016, 128 clinicians
Integra Imaging PSGroup PAC ID 1355593062, 126 clinicians
Advanced Imaging at Community Medical Center, LLCGroup PAC ID 4486642568, 7 clinicians

Practice addresses (Care Compare)

1145 Broadway
Seattle, WA 98122-4201
Phone (206) 329-1760

1200 12TH Ave S
Seattle, WA 98144-2712
Phone (509) 363-7788

12420 E Mission Ave
Spokane Valley, WA 99216-1051
Phone (509) 747-4455

1450 1St Ave SW
Quincy, WA 98848-1695
Phone (509) 787-6423

16528 E Desmet CT
Suite A1300
Spokane Valley, WA 99216-3522
Phone (509) 747-4455

2419 Mullan Rd
Suite D
Missoula, MT 59808-1856
Phone (509) 363-7788

2803 S W Ave
Missoula, MT 59804-5103
Phone (406) 327-3950

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (509) 363-7788

3275 N Reserve St
Suite a
Missoula, MT 59808-1562
Phone (406) 327-3950

421 S Division St
Spokane, WA 99202-1331
Phone (509) 747-4455

500 W Broadway St
Missoula, MT 59802-4008
Phone (509) 363-7788

525 S Cowley St
Spokane, WA 99202-1381
Phone (509) 363-7745

551 E Hawthorne Rd
Spokane, WA 99218-1417
Phone (509) 747-4455

5715 N Lidgerwood St
Spokane, WA 99208-1225
Phone (509) 747-4455

6 13TH Ave E
Polson, MT 59860-5315
Phone (209) 363-7788

605 S Coolidge St
Suite 101
Moses Lake, WA 98837-1893
Phone (509) 765-0674

7221 W Deschutes Ave
Kennewick, WA 99336-7807
Phone (509) 747-4455

801 S Stevens St
Spokane, WA 99204-2654

9631 N Nevada St
Suite 101
Spokane, WA 99218-1193
Phone (509) 747-4455

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11505MTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Imaging at Community Medical Center, LLC CurrentSince Jun 1, 2008 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Apr 15, 2022 Accepting new patients
Moses Lake Community Health Center CurrentSince Jan 1, 2017 Accepting new patients
Columbia County Hospital District CurrentSince Jan 1, 2026 Accepting new patients
Columbia County Hospital District CurrentSince Jun 30, 2021 Accepting new patients
Columbia County Hospital District CurrentSince Jun 30, 2021 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince May 1, 2022 Accepting new patients
Moses Lake Community Health Center CurrentSince Jan 1, 2017 Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince Dec 15, 2016 Accepting new patients
Bozeman Diagnostics LLC CurrentSince Jul 1, 2023 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
The Polyclinic PLLC CurrentSince Jan 1, 2017 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Apr 15, 2022 Accepting new patients
The Polyclinic PLLC Current Accepting new patients
Grant County Public Hospital District 2 CurrentSince Jan 1, 2017 Accepting new patients
Inland Imaging Associates PS Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
The Polyclinic CurrentSince Jan 1, 2017 Accepting new patients
Grant County Public Hospital District 3 CurrentSince Dec 4, 2025 Accepting new patients
Integra Imaging, PS Diagnostic Radiology CurrentSince Nov 1, 2016 Accepting new patients
Inland Imaging LLC Diagnostic Radiology CurrentSince Nov 1, 2016 Accepting new patients

Locations

2740 South Ave W
Missoula, MT 59804
Phone (406) 728-6010

2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512

2803 South Ave W
Missoula, MT 59804
Phone (406) 327-3950

500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-2154

1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531

200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

411 Fortuyn Rd
Grand Coulee, WA 99133
Phone (509) 633-1753

605 S Coolidge St
#101
Moses Lake, WA 98837
Phone (509) 765-0674

908 10th Ave SW
Quincy, WA 98848
Phone (509) 787-3503

1145 Broadway
Seattle, WA 98122

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

525 S Cowley St
Spokane, WA 99202
Phone (509) 625-3397

801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316

7205 265th St NW
Stanwood, WA 98292
Phone (360) 629-1100

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1548250426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 S RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018536",
            "telephone_number": "406-721-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 S RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598018536",
            "telephone_number": "406-721-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "ADAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "11505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

Verify at the official NPI Registry.