Jeremy Michael Benger, D.O.

Key facts

NPI

1548422751

Entity type

Individual (NPI type 1)

Primary specialty

Anesthesiology Physician 207L00000X

License

2613 (WV)

Practice address

327 Medical Park Dr
Bridgeport, WV 26330-9006

Phone

(681) 342-1000

NPI assigned

Jun 29, 2008

Sex

Male

Sole proprietor

No

Organizations & group practices 3

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.

• Northstar Anesthesia of West Virginia, PLLC Anesthesiology Physician · Irving, TX · NPI 1821448150
  Medicare reassignment NPD ANESTHESIOLOGY · WV
• West Virginia University Medical Corporation Family Medicine Physician · Morgantown, WV · NPI 1275504508
  Medicare reassignment WV
• Mid-Atlantic Anesthesia Consultants, LLC Anesthesiology Physician · Hurricane, WV · NPI 1144248907
  NPD (past) ANESTHESIOLOGY

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WV

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 5, 2015.

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1548422751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6209",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030714",
            "telephone_number": "304-233-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 MEDICAL PARK DR",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309006",
            "telephone_number": "681-342-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGER",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-29",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT012579",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "2613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

• Adrienne A Bean, PSYD
• Jaclyn Michele Belcastro, MS,OT R/L
• Samuel Anthony Belcastro, PTA
• Amber Bell
• Larry A. Bell, M.S.; L.P.C.; C.R.C.
• Katherine Elizabeth Bennett, KATHERINE PLPC
• Shenell A Bernard, MD
• Tani Elizabeth Berzins, MD
• Best Care Pharmacy of Bridgeport, LLC
• Best Chiropractic Clinic Inc

All providers in Bridgeport, WV · Anesthesiology Physician in West Virginia