Adam Ryan Benson, DVM

Individual provider Active NPI Point of Service · Brookings, SD

NPI 1639769375 · NPPES record last updated Jan 26, 2021

Key facts

NPI
1639769375
Entity type
Individual (NPI type 1)
Primary specialty
Point of Service 305S00000X
Practice address
1907 Highway 14 Byp
Brookings, SD 57006-4240
Phone
(605) 697-5200
Fax
(605) 692-4609
NPI assigned
Jan 26, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X Yes

Addresses

Primary practice location

1907 Highway 14 Byp
Brookings, SD 57006-4240

Mailing address

1907 Highway 14 Byp
Brookings, SD 57006-4240
Phone (605) 697-5200

Other providers in Brookings, SD

All providers in Brookings, SD · Point of Service in South Dakota

Sources for this page

Verify at the official NPI Registry.