Active NPI
David Bakke Benson, M.D.
- Family Medicine Physician
- Mount Vernon, WA
National Provider Identifier
1629057278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00040349
- Practice address
- 2116 East Section Street
Mount Vernon, WA 98274-9124 - Phone
- (360) 428-1700
- Fax
- (360) 848-4350
- NPI assigned
- Jan 12, 2006
- Last updated
- Feb 25, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00040349 | WA | Primary |
Addresses
Primary practice location
2116 East Section Street
Mount Vernon, WA 98274-9124
Mailing address
2116 East Section Street
Mount Vernon, WA 98274-9124
Phone (360) 428-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 31, 2025 through Dec 31, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascade Neuropsychology, PLLC | Current | Accepting new patients |
Locations
1603 S 3rd St
Mount Vernon, WA 98273
Phone (360) 428-1884
Interoperability endpoints
- dbenson13421@skagit.direct-ci.com
Organizations & group practices 1
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 Cascade Neuropsychology
- Clinical Neuropsychologist
- Bellingham, WA
- NPI 1871099937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1629057278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2116 EAST SECTION STREET",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982749124",
"telephone_number": "360-428-1700",
"fax_number": "360-848-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2116 EAST SECTION STREET",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982749124",
"telephone_number": "360-428-1700",
"fax_number": "360-848-4350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "DAVID",
"middle_name": "BAKKE",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00040349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.