David Bennahum, MD

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

70-13 Issued in NM

Practice address

Westside Family / Senior Health Center
4808 MC Mahon Blvd.
Albuquerque, NM 87114

Phone

(505) 272-1754

NPI assigned

Jul 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• University Physician Associates

  • Multi-Specialty Clinic/Center
  • Albuquerque, NM
  • NPI 1265468086
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780605923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 MCMAHON BLVD NW",
            "address_2": "MSC10 5550",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871145010",
            "telephone_number": "505-272-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WESTSIDE FAMILY / SENIOR HEALTH CENTER",
            "address_2": "4808 MC MAHON BLVD.",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87114",
            "telephone_number": "505-272-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNAHUM",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NM",
            "license": "70-13",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elena Benitez
• Samantha Benitez
• William Benitez, AA, BSW
• Bernard Benjamin, COTA
• Larry Michael Benjey, MD
• Robert Fred Bennecke Jr., KT
• Shay Malynn Benner, CPNP-PC
• Madeleine Bennet, LCSW
• Brenda Bennett, PHARMD
• Charles William Bennett, M.D.

• Geriatric Medicine (Family Medicine) Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Geriatric Medicine (Family Medicine) Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.