Benepro, P.C.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD 00028042 Issued in WA

Legal business name

BENEPRO, P.C.

Practice address

19901 1St Ave S
Suite 409
Normandy Park, WA 98148-2411

Phone

(206) 878-8600

Fax

(888) 431-8819

NPI assigned

Oct 29, 2014

Organization subpart

Yes

Parent organization

BENEPRO, P.C.As reported in NPPES

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

Authorized official

Name

Dr. Michael C. Brown, M.D.

Title

Owner

Phone

(206) 878-8600

Specialties & licenses 1

Addresses

Other names 1

• Marina Medical Doing business as

Part of

Benepro PC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Benepro P.C.

  • Family Medicine Physician
  • Des Moines, WA
  • NPI 1487850590
  NPPES parent name

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443139200000",
    "number": "1588069819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19901 1ST AVE S",
            "address_2": "SUITE 409",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482411",
            "telephone_number": "206-878-8600",
            "fax_number": "888-431-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEPRO, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENEPRO, P.C.",
        "enumeration_date": "2014-10-29",
        "last_updated": "2015-09-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-878-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "WA",
            "license": "MD 00028042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marina Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joyce Almerigi, LH 61238072
• Sandra Isabel Alvarado de Allan
• Kathleen A Appleyard, LMP
• Anne Armstrong, LMFT
• Jessica Ashley Bareng-Barros, D.C.
• Julie Brenneise, MA
• Donald Marvin Bucy, D.D.S.
• Brian Macleod Carey, D.D.S.
• Amy Elizabeth Castillo, LMP
• Dafna Chen, LMHC, CDP

• Non-Pharmacy Dispensing Site in Normandy Park, WA
• Providers in Normandy Park, WA by specialty
• Non-Pharmacy Dispensing Site in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.