Mignon F Benjamin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6882 Issued in AK

Practice address

641 West Willoughby Ave
Suite 201
Juneau, AK 99801-7809

Phone

(907) 586-8100

Fax

(907) 586-8102

NPI assigned

Sep 12, 2006

Last updated

Aug 6, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bartlett Regional Hospital

  dba Bartlett Surgery & Specialty Clinic

  • Surgery Physician
  • Juneau, AK
  • NPI 1508044835
  NPD
• Universtiy of North Carolina at Chapel Hill

  dba Durham Family Practice

  • Primary Care Clinic/Center
  • Durham, NC
  • NPI 1679591549
  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1659475143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 WEST WILLOUGHBY AVE",
            "address_2": "ST 201",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "99801",
            "telephone_number": "907-586-8100",
            "fax_number": "907-586-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 WEST WILLOUGHBY AVE",
            "address_2": "SUITE 201",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017809",
            "telephone_number": "907-586-8100",
            "fax_number": "907-586-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "MIGNON",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9300421",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "6882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8915026",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Beadle
• Susan Hilda Behnert, RN
• Cherri Bell, LMT
• Daisy Belleza
• Brian J Benjamin, MD
• Ashley Bennett
• Denise Bennett
• Leah Bennett
• Michael J Bennett, O.D
• Nannette Bennett

• Family Medicine Physician in Juneau, AK
• Providers in Juneau, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; 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.