BRIAN BENSON (NPI# 1104350883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104350883 |
| Entity Type | Individual |
| Full Name | BRIAN BENSON |
| Credential | DPM |
| Practice Address |
501 W Oneida St Waycross GA 31501-5337 |
| Mailing Address |
475 Seaview Ave Staten Island NY 10305-3436 |
| Practice Telephone | 9122836471 |
| Practice Fax Number | 9122833590 |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001453 | GA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003232377A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437574845 | Brian Benson | Pharmacist | 9795 23 1/2 Ave, Lemoore, CA 93245-9670 | 2014-02-21 |
| 1558318824 | Brian David Benson | Chiropractor | 3733 Karicio Ln, Prescott, AZ 86303-6829 | 2006-05-30 |
| 1841251667 | Brian Miller Benson IIi | Dentist | 100 Spillman Ct, Travelers Rest, SC 29690-1616 | 2006-03-31 |
| 1558621821 | Brian K Benson | Family Medicine | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2012-05-21 |
| 1740574870 | Brian Christopher Benson | Internal Medicine | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 | 2011-06-07 |
| 1336312420 | Brian Eric Benson | Otolaryngology | 20 Prospect Ave, Suite 613, Hackensack, NJ 07601-1997 | 2008-04-09 |
| 1760523393 | Brian Wayne Benson | Physician Assistant | 707 W Eau Gallie Blvd, Melbourne, FL 32935-5958 | 2007-02-08 |
| 1700943107 | Brian Scott Benson | Physician Assistant | 401 E Highland Ave, Suite 252, San Bernardino, CA 92404-3803 | 2007-01-03 |
| 1730148446 | Brian M Benson Jr. | Internal Medicine | 725 S Queen St, Dover, DE 19904-3568 | 2006-03-21 |
| Street Address |
501 W ONEIDA ST |
| City | WAYCROSS |
| State | GA |
| Zip Code | 31501-5337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043235617 | Hazel Blaylock-lawson | Physical Therapist | 501 W Oneida St, Waycross, GA 31501-5337 | 2006-07-13 |
| 1649679747 | Alex T Bell | Physical Therapist | 501 W Oneida St, Waycross, GA 31501-5337 | 2014-08-14 |
| 1679735336 | Thomas Brent Ray | Podiatrist | 501 W Oneida St, Waycross, GA 31501-5337 | 2008-06-25 |
| 1366636664 | Deirdre K O'brien | Nurse Practitioner | 501 W Oneida St, Waycross, GA 31501-5337 | 2007-08-29 |
| 1356492599 | Ankle & Foot Associates, LLC | Internal Medicine | 501 W Oneida St, Waycross, GA 31501-5337 | 2007-01-15 |
| 1912019308 | Orthopaedic Specialists of South Georgia | Durable Medical Equipment & Medical Supplies | 501 W Oneida St, Waycross, GA 31501-5337 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962906115 | Davenport Health Pa | Family Medicine | 1401 Cherokee Drive, Waycross, GA 31501 | 2018-03-22 |
| 1962940478 | Blake Darren Aldridge | Physical Therapy Assistant | 401 Preston Street, Waycross, GA 31501 | 2017-02-03 |
| 1669922142 | Jebediah S. Christy Dds - Waycross Pllc | Dentist | 2271 Memorial Dr, Waycross, GA 31501 | 2016-10-10 |
| 1558721944 | Jana Kirby | Massage Therapist | 1599 Knight Ave., Kallman Chiropractic Center, Waycross, GA 31501 | 2016-02-29 |
| 1962877001 | Courtney Baldwin | Specialist/Technologist, Other | 2403 Spurgeon St, Waycross, GA 31501 | 2015-12-01 |
| 1912389784 | Grayson Stuart Griffis | Dentist | 2103 Tebeau St., Waycross, GA 31501 | 2015-06-29 |
| 1730561267 | Trishla Amit Desai | Internal Medicine | Memorial Satilla Health, 1900 Tebeau Street, Waycross, GA 31501 | 2015-06-20 |
| 1316330913 | Hanger Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 512 City Blvd Ste H, Waycross, GA 31501 | 2015-03-06 |
| 1942699079 | Jose Ramon Martinez | Anesthesiology | 701 City Blvd, Waycross, GA 31501 | 2015-01-13 |
| 1023356714 | Orthopedics Surgeons of Georgia, LLC | Orthopaedic Surgery | 2015 Alice Street, Waycross, GA 31501 | 2013-01-30 |
| Find all providers in zip 31501 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063777340 | Satilla Foot and Ankle, LLC | Podiatrist | 545 Knight Ave, Waycross, GA 31501-3354 | 2012-07-12 |
| 1699044529 | Leslie Bennett Dowling | Podiatrist | 545 Knight Ave, Waycross, GA 31501-3354 | 2011-12-21 |
| 1679735336 | Thomas Brent Ray | Podiatrist | 501 W Oneida St, Waycross, GA 31501-5337 | 2008-06-25 |
| 1194755447 | David P Murphy | Podiatrist | 2003 Alice St, Waycross, GA 31501-6209 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518515980 | Da Vinci Foot and Ankle Madison LLC | Podiatrist | 1740 Lions Club Rd Ste 200, Madison, GA 30650-4762 | 2019-08-29 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1073076170 | Kalish Foot & Ankle Institute | Podiatrist | 6911 Tara Blvd Ste 101, Jonesboro, GA 30236-1503 | 2019-04-08 |
| 1427523919 | Tommy Lee Tally | Podiatrist | 8225 Mall Pkwy Ste 230, Lithonia, GA 30038-6913 | 2018-10-10 |
| 1881188944 | Joshua Jae Lee | Podiatrist | 3425 Buford Dr Ste 350, Buford, GA 30519-8785 | 2018-06-21 |
| 1437652815 | Southeast Regional Primary Care Corporation | Podiatrist | 1707 Meadows Ln Ste H, Vidalia, GA 30474-7201 | 2018-03-13 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1194245894 | Yusuf Abiodun Opakunle | Podiatrist | 600 Professional Dr Ste 130, Lawrenceville, GA 30046-7638 | 2017-06-23 |
| 1891228540 | Vishal Patel | Podiatrist | 755 Mount Vernon Hwy Ne Ste 210, Atlanta, GA 30328-4279 | 2017-04-10 |
| 1497296552 | Ankle and Foot Assoc, LLC | Podiatrist | 118 Azalea Rd, Suite 1-2, Baxley, GA 31513-0672 | 2017-03-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.