Active NPI
Stephen Stanley Benham, MD
- Family Medicine Physician
- Sidney, NY
National Provider Identifier
1891790069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 153284
- Practice address
- 41A Delaware St
Sidney, NY 13838-1336 - Phone
- (607) 563-7477
- Fax
- (607) 563-7479
- NPI assigned
- Jun 15, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 153284 | NY | Primary |
Addresses
Primary practice location
41A Delaware St
Sidney, NY 13838-1336
Mailing address
41A Delaware St
Sidney, NY 13838-1336
Phone (607) 563-7477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00762890 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409097600000",
"number": "1891790069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41A DELAWARE ST",
"city": "SIDNEY",
"state": "NY",
"postal_code": "138381336",
"telephone_number": "607-563-7477",
"fax_number": "607-563-7479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41A DELAWARE ST",
"city": "SIDNEY",
"state": "NY",
"postal_code": "138381336",
"telephone_number": "607-563-7477",
"fax_number": "607-563-7479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENHAM",
"first_name": "STEPHEN",
"middle_name": "STANLEY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2014-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "153284",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00762890",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sidney, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.