Active NPI
Eugene Elliot Benjamin, M.D.
- Neurology Physician
- Bristol, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 28842
- Practice address
- 1 Medical Park Blvd
Bristol, TN 37620-7430 - Phone
- (423) 844-1121
- Fax
- (423) 230-8502
- NPI assigned
- Mar 29, 2006
- Last updated
- Jan 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 75482 | TN | |
| Neurology Physician | 2084N0400X | 28842 | NC | Primary |
| Neurology Physician | 2084N0400X | D78821 | MD | |
| Hospitalist Physician | 208M00000X | 75482 | TN |
Addresses
Primary practice location
1 Medical Park Blvd
Bristol, TN 37620-7430
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 952-2111
Other practice location 1
130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-3628
Other practice location 2
410 N State Of Franklin Rd Ste 135
Johnson City, TN 37604-6972
Phone (423) 431-2350
Other practice location 3
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7536
Other practice location 4
510 Butler Ave
Martinsburg, WV 25401-9990
Phone (304) 263-0811 ext. 3486
Other practice location 5
100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 543-7536
Other practice location 6
1910 Jake Alexander Blvd W Ste 102
Salisbury, NC 28147-1163
Phone (704) 637-1779
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ebenjamin664611@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 E Broadway Ave
Bismarck, ND 58501-4520
Phone (701) 530-7000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.92 of 100
- Quality
- 74.47
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 75.27
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.48 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28842 | NC | MD | Pharmacist |
| 75482 | TN | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Alexius Medical Center | Current | Accepting new patients | |
| Tidalhealth Peninsula Regional, Inc. | Current | Accepting new patients | |
| St. Alexius Medical Center | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Tidalhealth Specialty Care, LLC | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Neurology | Current | Accepting new patients |
| Tidalhealth Peninsula Regional, Inc. | Current | Accepting new patients | |
| Wellmont Medical Associates Inc | Hospitalist | Current | Accepting new patients |
| Tidalhealth Peninsula Regional, Inc. | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Past | Accepting new patients | |
| Community Memorial Hospital | Hospitalist | Past | Accepting new patients |
Locations
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616
145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400
900 E Broadway Ave
Bismarck, ND 58501
Phone (701) 530-7300
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380
1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
410 N State of Franklin Rd
Ste 135
Johnson City, TN 37604
Phone (423) 431-2350
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHI St. Alexius Health Clinics
- Specialist
- Bismarck, ND
- NPI 1205868429
-
- Family Medicine Physician
- Salisbury, MD
- NPI 1184832040
-
- Medical Specialty Clinic/Center
- Salisbury, MD
- NPI 1619504735
-
dba Ballad Health Medical Associates
- Neurology Physician
- Johnson City, TN
- NPI 1659776375
-
dba Ballad Health Medical Associates
- Family Medicine Physician
- Johnson City, TN
- NPI 1982553756
-
dba Ballad Health Medical Associates
- Pulmonary Disease Physician
- Bristol, TN
- NPI 1780986257
Hospitalist
-
dba Ballad Health Medical Associates
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
dba CHI St. Alexius Health
- Home Infusion Therapy Pharmacy
- Bismarck, ND
- NPI 1063663607
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
-
dba TidalHealth Specialty Pharmacy
- Community/Retail Pharmacy
- Salisbury, MD
- NPI 1871031559
-
dba Ballad Health Medical Associates
- Cardiovascular Disease Physician
- Johnson City, TN
- NPI 1740227131
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI St. Alexius Health
- General Acute Care Hospital
- Bismarck, ND
- NPI 1306832654
-
dba CHI St Alexius Health Dickinson
- Critical Access Hospital
- Dickinson, ND
- NPI 1992947956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1619938867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-952-2111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK BLVD",
"city": "BRISTOL",
"state": "TN",
"postal_code": "376207430",
"telephone_number": "423-844-1121",
"fax_number": "423-230-8502"
}
],
"practiceLocations": [
{
"address_1": "130 W Ravine Rd",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376603837",
"country_code": "US",
"telephone_number": "423-224-3628",
"fax_number": "423-230-8502",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "410 N State Of Franklin Rd Ste 135",
"address_purpose": "LOCATION",
"city": "Johnson City",
"state": "TN",
"postal_code": "376046972",
"country_code": "US",
"telephone_number": "423-431-2350",
"fax_number": "423-431-2372",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E Carroll St",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "21801",
"country_code": "US",
"telephone_number": "410-543-7536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "510 Butler Ave",
"address_purpose": "LOCATION",
"city": "Martinsburg",
"state": "WV",
"postal_code": "254019990",
"country_code": "US",
"telephone_number": "304-263-0811 x3486",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 E Carroll St",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218015422",
"country_code": "US",
"telephone_number": "410-543-7536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1910 Jake Alexander Blvd W Ste 102",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "NC",
"postal_code": "281471163",
"country_code": "US",
"telephone_number": "704-637-1779",
"fax_number": "704-637-1121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BENJAMIN",
"first_name": "EUGENE",
"middle_name": "ELLIOT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TN",
"license": "75482",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NC",
"license": "28842",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D78821",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TN",
"license": "75482",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ebenjamin664611@direct.novanthealth.org",
"affiliation": "N",
"address_1": "510 Butler Ave",
"city": "Martinsburg",
"state": "WV",
"country_code": "US",
"postal_code": "254019990",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bristol, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.