Active NPI
Corby J Benson, MD
- Psychiatry Physician
- Minneapolis, MN
National Provider Identifier
1992778229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 33675
- Practice address
- 1801 Nicollet Ave
Nicollet Exchange II Building
Minneapolis, MN 55403-3791 - Phone
- (612) 596-0900
- Fax
- (612) 321-3492
- NPI assigned
- Feb 8, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 33675 | MN | Primary |
Addresses
Primary practice location
1801 Nicollet Ave
Nicollet Exchange II Building
Minneapolis, MN 55403-3791
Mailing address
525 Portland Ave So.
HSB MC 952
Minneapolis, MN 55415
Phone (612) 348-9840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235707100 | Medicaid | MN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allina Health System | Past | Accepting new patients | |
| Hennepin County | Past | Accepting new patients | |
| Allina Health System | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1760446256
-
- Rheumatology Physician
- Coon Rapids, MN
- NPI 1952146516
-
- Public Health or Welfare Agency
- Minneapolis, MN
- NPI 1619041845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1992778229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 PORTLAND AVE SO.",
"address_2": "HSB MC 952",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55415",
"telephone_number": "612-348-9840",
"fax_number": "612-596-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 NICOLLET AVE",
"address_2": "NICOLLET EXCHANGE II BUILDING",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033791",
"telephone_number": "612-596-0900",
"fax_number": "612-321-3492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENSON",
"first_name": "CORBY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "33675",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "235707100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.