Active NPI
Ronald Paul Benjamin, M.D.
- Dermatology Physician
- Wilmington, NC
National Provider Identifier
1922066398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 16204
- Practice address
- 1099 Medical Center Dr
Wilmington, NC 28401-7346 - Phone
- (910) 251-9944
- Fax
- (910) 763-4666
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 16204 | NC | Primary |
Addresses
Primary practice location
1099 Medical Center Dr
Wilmington, NC 28401-7346
Mailing address
1099 Medical Center Dr
Wilmington, NC 28401-7346
Phone (910) 251-9944
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 |
|---|---|---|---|
| 16204 | NC | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302652800000",
"number": "1922066398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017346",
"telephone_number": "910-251-9944",
"fax_number": "910-763-4666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 MEDICAL CENTER DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017346",
"telephone_number": "910-251-9944",
"fax_number": "910-763-4666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "RONALD",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2011-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "16204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.