Paul Vincentin Benson, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Birmingham, AL
NPI 1659835148 · NPPES record last updated Apr 1, 2019
Key facts
- NPI
- 1659835148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 37835 (AL)
- Practice address
- 619 19TH St S
Birmingham, AL 35249-4509 - Phone
- (205) 934-4011
- NPI assigned
- Jan 29, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41291 | TN | MD | Women's Health Nurse Practitioner |
Interoperability endpoints
- pvbenson@direct.uabmedicine.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | 37835 | AL | |
| Forensic Pathology Physician | 207ZF0201X | 41291 | TN | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 37835 | AL | Yes |
Addresses
Primary practice location
619 19TH St S
Birmingham, AL 35249-4509
Mailing address
8268 Mossy Creek Dr
Germantown, TN 38138-7214
Phone (540) 553-5472
Other providers in Birmingham, AL
- Brice Bennick
- Branden Benningfield
- Virginia Elizabeth Bensinger
- Charles M Benson
- Gayle Benson
- Rosalind Boonarkat Benson
- Jessica Nicole Bentley
- Kathryn Ashley Bentley
- Matthew B Bentley
- Melissa Bentley
All providers in Birmingham, AL · Anatomic Pathology & Clinical Pathology Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.