Dr. Benedict and Associates, P.C.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

4301060730 Issued in MI

Legal business name

DR. BENEDICT AND ASSOCIATES, P.C.

Practice address

8392 Holly Rd
Grand Blanc, MI 48439-1867

Phone

(810) 694-9903

Fax

(810) 695-6644

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Orlando Ivan Benedict, M.D.

Title

Owner/President

Phone

(810) 694-9903

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1871600437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78000",
            "address_2": "DEPARTMENT NUMBER 78085",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482780001",
            "telephone_number": "810-694-9903",
            "fax_number": "810-695-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8392 HOLLY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391867",
            "telephone_number": "810-694-9903",
            "fax_number": "810-695-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BENEDICT AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "BENEDICT",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_middle_name": "IVAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "810-694-9903",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4301060730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080B51127",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4189664",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Grand Blanc, MI
• Geriatric Medicine (Family Medicine) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.