Organization Active NPI

Brainerd Medical Center SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1851435986
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BRAINERD MEDICAL CENTER SC
Practice address
1222 W 95TH St
Chicago, IL 60643-1408
Phone
(773) 445-8155
Fax
(773) 779-7186
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Vincent Rafer Benig, M.D.
Title
President
Phone
(773) 445-8155

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X IL
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

1222 W 95TH St
Chicago, IL 60643-1408

Mailing address

1222 W 95TH St
Chicago, IL 60643-1408
Phone (773) 445-8155

Other identifiers 5

IdentifierTypeStateIssuer
0001635931OtherILBCBS GROUP #
N276702OtherILCORAZON BENIG'S HARMONY#
P00299437OtherILCORAZON BENIG'S RRM PIN
P00288775OtherILVINCENT BENIG-RRM PIN
DE3749OtherILRAILROAD MEDICARE GRP#

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1851435986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431408",
            "telephone_number": "773-445-8155",
            "fax_number": "773-779-7186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 W 95TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431408",
            "telephone_number": "773-445-8155",
            "fax_number": "773-779-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINERD MEDICAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BENIG",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "RAFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-445-8155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  GROUP #",
            "identifier": "0001635931",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORAZON BENIG'S HARMONY#",
            "identifier": "N276702",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORAZON BENIG'S RRM PIN",
            "identifier": "P00299437",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VINCENT BENIG-RRM PIN",
            "identifier": "P00288775",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GRP#",
            "identifier": "DE3749",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.