Brian J Benjamin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6945 Issued in AK

Practice address

3245 Hospital Dr
Juneau, AK 99801-7809

Phone

(919) 475-5443

Fax

(907) 463-5868

NPI assigned

Sep 12, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in TX, AK2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

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 and National Provider Directory roles.

• Bartlett Regional Hospital

  • Surgery Physician
  • Juneau, AK
  • NPI 1508044835

  AK

  Medicare reassignment Care Compare group NPD
• Southeast Alaska Regional Health Consortium

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037

  TX

  Medicare reassignment NPD
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Juneau, AK
  • NPI 1942284765
  NPD
• Alpine Dermatology, LLC

  • Medical Physician Assistant
  • Juneau, AK
  • NPI 1053619098
  NPD (past)
• Universtiy of North Carolina at Chapel Hill

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

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bartlett Regional Hospital

  • General Acute Care Hospital
  • Juneau, AK
  • NPI 1891849261

  Hospital

  Care Compare affiliation

Specialty

Hospitalist

Education

University of Rochester School of Medicine and Dentistry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bartlett Regional Hospital 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bartlett Regional Hospital Hospital, Juneau, AK, CCN 020008

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1700980281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 HOSPITAL DR",
            "address_2": "UNIT 101A",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017863",
            "telephone_number": "919-475-5443",
            "fax_number": "907-463-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 HOSPITAL DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017809",
            "telephone_number": "919-475-5443",
            "fax_number": "907-463-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "BRIAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "36085",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "6945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8914544",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD9828",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karl Von Bausler, FNP
• Melissa Beadle
• Susan Hilda Behnert, RN
• Cherri Bell, LMT
• Daisy Belleza
• Mignon F Benjamin, MD
• Ashley Bennett
• Denise Bennett
• Leah Bennett
• Michael J Bennett, O.D

• All providers in Juneau, AK
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.