Benson Medical Group PS

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BENSON MEDICAL GROUP PS

Practice address

110 N Laventure Rd
Suite C
Mount Vernon, WA 98273-3901

Phone

(360) 899-4526

Fax

(360) 899-4534

NPI assigned

Oct 1, 2012

Organization subpart

No

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

Authorized official

Name

Danielle Renae Bartlett

Title

Administrator

Phone

(360) 899-4526

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1629329636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N LAVENTURE RD",
            "address_2": "SUITE C",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733901",
            "telephone_number": "360-899-4526",
            "fax_number": "360-899-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N LAVENTURE RD",
            "address_2": "SUITE C",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733901",
            "telephone_number": "360-899-4526",
            "fax_number": "360-899-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENSON MEDICAL GROUP PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "360-899-4526"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Marie Bennett
• Randy Graeme Bennett, MA, LMHC, MHP, CMHS
• Tammie Marie Bennett
• Benson Enterprises, LLC
• Benson Enterprises, LLC
• David Bakke Benson, M.D.
• Jennifer Benson, PHD
• Jennifer Kooiker Benson, MD
• Jeffrey Allen Berger, MD
• Allison Kate Berglin, ARNP

• General Practice Physician in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• General Practice Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.