Johnny C. Benjamin Jr. M.D., PA

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

JOHNNY C. BENJAMIN JR. M.D., PA

Practice address

1355 37TH St
Suite 301
Vero Beach, FL 32960-7320

Phone

(772) 978-7808

Fax

(772) 978-9320

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Amanda P Mullikin

Title

Admin Assist

Phone

(772) 978-7808

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• PRO SPINE Doing business as

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1760412977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 37TH ST",
            "address_2": "SUITE 301",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607320",
            "telephone_number": "772-978-7808",
            "fax_number": "772-978-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 37TH ST",
            "address_2": "SUITE 301",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607320",
            "telephone_number": "772-978-7808",
            "fax_number": "772-978-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY C. BENJAMIN JR. M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "MULLIKIN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMIN ASSIST",
        "authorized_official_telephone_number": "772-978-7808",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "45410",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO SPINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John M Sarbak MD PA
• John P Petersen MD PA
• John S Suen MD PA
• John T Davidson MD FRCS PA
• John W McDonald, MD, PA
• William John Johns III, M.D.
• Jessica Johnson-Cook
• Catherine A Johnson, RN, BSN
• Chloe Johnson
• Indley Johnson, MD

• Orthopaedic Surgery of the Spine Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Orthopaedic Surgery of the Spine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; 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.