Bradley Benick, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

28219614A Issued in IN

Practice address

10701 East Blvd
Cleveland, OH 44106-1702

Phone

(216) 262-8309

NPI assigned

Jun 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1548885197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 HANNUM DR",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442415194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10701 EAST BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061702",
            "telephone_number": "216-262-8309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENICK",
        "first_name": "BRADLEY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28219614A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA BOARD OF NURSING",
            "identifier": "28219614A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisa Benedict, APRN-CNP
• Natalie Benesh, MFT T BA QMHSMACMS
• Darrien Benford
• Jocelyn Benford, LPCC
• Sonja Lynette Benford I, LISW, MSWAC
• Matthew Benick
• Tarik Benidir, MD, M.SC, FRCSC
• Timothy Benik, DO
• Eddie T. Benion Jr., ATC
• Simranjeet Singh Benipal

• Registered Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.