Active NPI
David Benjamin, FNP-BC
- Family Nurse Practitioner
- Saginaw, MI
National Provider Identifier
1629460100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704206645
- Practice address
- 3378 Fashion Square Blvd
Saginaw, MI 48603-2448 - Phone
- (989) 272-7610
- Fax
- (989) 249-0212
- NPI assigned
- Feb 20, 2015
- 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 Nurse Practitioner | 363LF0000X | 4704206645 | MI | Primary |
Addresses
Primary practice location
3378 Fashion Square Blvd
Saginaw, MI 48603-2448
Mailing address
3378 Fashion Square Blvd
Saginaw, MI 48603-2448
Phone (989) 272-7610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704206645 | MI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1629460100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3378 FASHION SQUARE BLVD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032448",
"telephone_number": "989-272-7610",
"fax_number": "989-249-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3378 FASHION SQUARE BLVD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032448",
"telephone_number": "989-272-7610",
"fax_number": "989-249-0212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-20",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704206645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.