Individual provider Active NPI

Brian M Benson Jr., M.D.

  • Internal Medicine Physician
  • Dover, DE
National Provider Identifier
1730148446
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10001481 Issued in DE
Practice address
725 S Queen St
Dover, DE 19904-3568
Phone
(302) 678-4488
Fax
(302) 678-4497
NPI assigned
Mar 21, 2006
Last updated
Jul 30, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C10001481 DE Primary

Addresses

Primary practice location

725 S Queen St
Dover, DE 19904-3568

Mailing address

725 S Queen St
Dover, DE 19904-3568
Phone (302) 678-4488

Other identifiers 1

IdentifierTypeStateIssuer
0000156301MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080909000420 DE Practitioner - Internal Medicine 9931275609 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10001481DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine of Dover PA Internal Medicine CurrentSince Aug 1, 1981 Accepting new patients
Bayhealth Medical Center, Inc Internal Medicine Past Accepting new patients

Locations

725 S Queen St
Dover, DE 19904
Phone (302) 674-3350

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1730148446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S QUEEN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043568",
            "telephone_number": "302-678-4488",
            "fax_number": "302-678-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S QUEEN ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043568",
            "telephone_number": "302-678-4488",
            "fax_number": "302-678-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENSON",
        "first_name": "BRIAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10001481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000156301",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.