Brandon Benson

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Meridian, ID

NPI 1700725017 · NPPES record last updated Mar 25, 2026

Key facts

NPI
1700725017
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1401 E Central Dr
Meridian, ID 83642-8046
Phone
(208) 795-4266
NPI assigned
Mar 25, 2026
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
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1401 E Central Dr
Meridian, ID 83642-8046

Mailing address

1401 E Central Dr
Meridian, ID 83642-8046
Phone (208) 795-4266

Other providers in Meridian, ID

All providers in Meridian, ID · Student in an Organized Health Care Education/Training Program in Idaho

Sources for this page

Verify at the official NPI Registry.