Active NPI
Benjamin Alkan Isserlin, MD
- Trauma Surgery Physician
- Chapel Hill, NC
National Provider Identifier
1912252883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Trauma Surgery Physician
- License
- 2012-00804
- Practice address
- 4008 Burnett Womack
CB#7228
Chapel Hill, NC 27599-7228 - Phone
- (919) 966-4389
- Fax
- (919) 966-0369
- NPI assigned
- Jul 17, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 2012-00804 | NC | |
| Trauma Surgery Physician | 2086S0127X | 2012-00804 | NC | Primary |
Addresses
Primary practice location
4008 Burnett Womack
CB#7228
Chapel Hill, NC 27599-7228
Mailing address
4008 Burnett Womack
CB#7228
Chapel Hill, NC 27599-7228
Phone (919) 966-4389
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012-00804 | NC | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba UNC Faculty Physicians
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342483200000",
"number": "1912252883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4008 BURNETT WOMACK",
"address_2": "CB#7228",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275997228",
"telephone_number": "919-966-4389",
"fax_number": "919-966-0369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4008 BURNETT WOMACK",
"address_2": "CB#7228",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275997228",
"telephone_number": "919-966-4389",
"fax_number": "919-966-0369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISSERLIN",
"first_name": "BENJAMIN",
"middle_name": "ALKAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-17",
"last_updated": "2012-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NC",
"license": "2012-00804",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NC",
"license": "2012-00804",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.