BRIAN THOMAS BENJAMIN (NPI# 1396365631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396365631 |
| Entity Type | Individual |
| Full Name | BRIAN THOMAS BENJAMIN |
| Credential | MD |
| Practice Address |
605 S Conroe Medical Dr Conroe TX 77304-4722 |
| Practice Telephone | 9365394004 |
| Mailing Telephone | 9365394004 |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356565477 | Brian Douglas Benjamin | Dentist | 2123 Avenida Espada, San Clemente, CA 92673-5608 | 2007-04-12 |
| 1538296835 | Brian W Benjamin | Physical Therapist | 2108 Midpoint Dr, Suite 2, Fort Collins, CO 80525-4323 | 2007-02-27 |
| 1770666455 | Brian Timothy Benjamin | Case Manager/Care Coordinator | 426 G St, Elizabethton, TN 37643 | 2006-10-24 |
| 1316449176 | Brian Jacob Benjamin | Psychologist | 200 E Del Mar Blvd Ste 206, Pasadena, CA 91105-2552 | 2018-03-07 |
| 1518354661 | Brian Benjamin | Psychiatry & Neurology | 6655 Sykesville Rd, Sykesville, MD 21784-7966 | 2015-04-15 |
| 1053705947 | Brian Benjamin | Internal Medicine | 240 E Huron St, Suite 1-200, Chicago, IL 60611-2909 | 2015-03-27 |
| 1477744720 | Brian Benjamin | Chiropractor | 304 4th Ave Ne, Waite Park, MN 56387-1236 | 2007-08-01 |
| 1700980281 | Brian J Benjamin | Family Medicine | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2006-09-12 |
| 1649236902 | Brian K Benjamin | Pediatrics | 865 Westfield Rd Ste B, Noblesville, IN 46062-8901 | 2006-04-25 |
| Street Address |
605 S CONROE MEDICAL DR |
| City | CONROE |
| State | TX |
| Zip Code | 77304-4722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045774 | Lone Star Community Health Center, Inc. | Clinic/Center | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2005-06-30 |
| 1508485822 | Julian Hilario Jimenez | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1376162693 | Atharva Prashant Joshi | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1437779774 | Devin Adam Quiroz | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1922627389 | Lauren Quyen Duong | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1720607104 | Bryan J Bessellieu | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1952920340 | Valerie Christine Hopper | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1477172849 | Anthony Bert Diaz | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1013536457 | Rushab Harshadkumar Patel | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1124647573 | William Patrick Mcdonough | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068811 | Nolan Bond | Student in an Organized Health Care Education/Training Program | 12382 Tramonto Dr, Conroe, TX 77304-4559 | 2020-03-16 |
| 1578004990 | Nidhisha Anireddy | Student in an Organized Health Care Education/Training Program | 15244 Saddlewood Dr, Conroe, TX 77384-3453 | 2017-03-17 |
| 1508485822 | Julian Hilario Jimenez | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1376162693 | Atharva Prashant Joshi | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1437779774 | Devin Adam Quiroz | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-16 |
| 1922627389 | Lauren Quyen Duong | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1720607104 | Bryan J Bessellieu | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1952920340 | Valerie Christine Hopper | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1477172849 | Anthony Bert Diaz | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
| 1013536457 | Rushab Harshadkumar Patel | Student in an Organized Health Care Education/Training Program | 605 S Conroe Medical Dr, Conroe, TX 77304-4722 | 2020-04-15 |
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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.