Benn Gilmore, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

4301029992 Issued in MI

Practice address

39525 W 14 Mile Rd
Ste 101
Novi, MI 48377

Phone

(248) 926-6673

Fax

(248) 926-6683

NPI assigned

Jan 3, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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.

• DRS Gilmore Lacivita & Associates PC

  • Otolaryngology Physician
  • Novi, MI
  • NPI 1538226337
  Authorized official Same address or phone

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649258427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39525 W 14 MILE RD",
            "address_2": "STE 101",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-926-6673",
            "fax_number": "248-926-6683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39525 W 14 MILE RD",
            "address_2": "STE 101",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "48377",
            "telephone_number": "248-926-6673",
            "fax_number": "248-926-6683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "BENN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301029992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2637970",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tajmah Gillespie
• Talon Gillespie
• Tanisha M Gillespie
• Rebecca A Gillette
• Rachel Gillman
• Daijah Gilmore
• Monique Gilstrap
• Laura Marie Gingerich
• Brooklyn Ginter
• Kylee A Ginter

• Otolaryngology Physician in Novi, MI
• Providers in Novi, MI by specialty
• Otolaryngology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.