Active NPI
Rosemary A. Benjamin, BS, DC
- Chiropractor
- Fowlerville, MI
National Provider Identifier
1952303091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- RP005319
- Practice address
- Pob 289
114 S. 2ND St.
Fowlerville, MI 48836 - Phone
- (517) 223-9900
- Fax
- (517) 223-9900
- NPI assigned
- Jun 1, 2005
- Reactivated
- Mar 27, 2006
- Last updated
- Jul 19, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | RP005319 | MI | Primary |
Addresses
Primary practice location
Pob 289
114 S. 2ND St.
Fowlerville, MI 48836
Mailing address
114 South Second Street
PO Box 289
Fowlerville, MI 48836-0289
Phone (517) 223-9900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950D710790 | Other | MI | BCBSMI |
| 141902466 | Medicaid | MI | |
| P100330 | Other | MI | BLUE CARE NETWORK |
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)
- Not enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP005319 | MI | MD | Chiropractor |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Fowlerville, MI
- NPI 1386074110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1952303091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 SOUTH SECOND STREET",
"address_2": "PO BOX 289",
"city": "FOWLERVILLE",
"state": "MI",
"postal_code": "488360289",
"telephone_number": "517-223-9900",
"fax_number": "517-223-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "POB 289",
"address_2": "114 S. 2ND ST.",
"city": "FOWLERVILLE",
"state": "MI",
"postal_code": "48836",
"telephone_number": "517-223-9900",
"fax_number": "517-223-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENJAMIN",
"first_name": "ROSEMARY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "BS, DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-01",
"last_updated": "2013-07-19",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "RP005319",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMI",
"identifier": "950D710790",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141902466",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE NETWORK",
"identifier": "P100330",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fowlerville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.