DR. BRADLEY VERNON BENSON (NPI# 1619104130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619104130 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY VERNON BENSON |
| Credential | D.O. |
| Practice Address |
1001 Division St Prescott AZ 86301-1618 |
| Mailing Address |
Po Box 10880 Prescott AZ 86304-0880 |
| Practice Telephone | 9284454818 |
| Practice Fax Number | 9284454837 |
| Mailing Telephone | 9287595987 |
| Mailing Fax Number | 9284582039 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2015-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
5884 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 710932 | 05 | |
| AZ | DEA # | FB1957337 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013247832 | Bradley Benson | Veterinarian | 1909 Pierce St, Sioux City, IA 51104-3842 | 2009-12-29 |
| 1831567783 | Bradley F Benson | Podiatrist | 1414 W Fair Ave Ste 190, Marquette, MI 49855 | 2015-09-09 |
| 1467488536 | Bradley John Benson | Internal Medicine | University of Minnesota Physicians, 516 Delaware Street Se, Pwb Third Floor, Clinic 3a, Minneapolis, MN 55455 | 2006-06-23 |
| Street Address |
1001 DIVISION ST |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86301-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184616823 | Richard J Lane | Orthopaedic Surgery | 1001 Division St, Prescott, AZ 86301-1618 | 2005-08-18 |
| 1437452836 | Delmas Lee Abbott | Physician Assistant | 1001 Division St, Prescott, AZ 86301-1601 | 2010-12-07 |
| 1588966170 | The Center for Orthopedic Research and Education, Inc. | Orthopaedic Surgery | 1001 Division St, Prescott, AZ 86301-1618 | 2010-12-02 |
| 1447490321 | Center for Orthopedic Research and Education Inc | Durable Medical Equipment & Medical Supplies | 1001 Division St, Suite B, Prescott, AZ 86301-1618 | 2009-03-04 |
| 1437347804 | Melinda Ann Rawcliffe | Physician Assistant | 1001 Division St, Prescott, AZ 86301-1601 | 2007-10-10 |
| 1720028095 | Jeremy D. Platt | Physician Assistant | 1001 Division St, Prescott, AZ 86301-1618 | 2006-06-07 |
| 1427096288 | Harvey G Thomas | Specialist | 1001 Division St, Prescott, AZ 86301-1613 | 2006-06-03 |
| 1821050196 | Vickie Marie Zeller | Physician Assistant | 1001 Division St, Prescott, AZ 86301-1618 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102350 | Dove Marie Gundermann | Specialist/Technologist | 300 W. Gurley St, Prescott, AZ 86301 | 2020-07-30 |
| 1639712110 | Arizona Orthopedic Physical Therapy, Pllc | Clinic/Center | 1781 E State Highway 69, Suite 28, Prescott, AZ 86301 | 2019-10-28 |
| 1538714092 | Prescott Complete Care | Family Medicine | 1947 Commerce Center Circle, Suite A, Prescott, AZ 86301 | 2019-08-01 |
| 1336612571 | Sarah Elizabeth Elliott | Registered Nurse | 500 Az 89, Prescott, AZ 86301 | 2019-01-10 |
| 1912484270 | Asya Ruth Perkins | Counselor | 225 Grove Avenue, Prescott, AZ 86301 | 2018-07-19 |
| 1396241394 | Jerome Alexander Longoria | Chiropractor | 142 N. Rush St, Prescott, AZ 86301 | 2018-03-30 |
| 1619487675 | Yavapai Healthcare Group LLC | Nurse Practitioner | 999 Division Street, Prescott, AZ 86301 | 2017-10-04 |
| 1053835843 | United States Veterans Initiative | Counselor | 917 E Gurley St, Prescott, AZ 86301 | 2017-08-02 |
| 1164896999 | Spitler - Lilley, LLC | Hearing Instrument Specialist | 1781 E. State Rte 69, Suite 65, Prescott, AZ 86301 | 2015-11-17 |
| 1275925265 | Oral and Facial Surgery Center of Prescott | Dentist | 5415 Distiction Way, Prescott, AZ 86301 | 2015-02-27 |
| Find all providers in zip 86301 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013111384 | Robert J. Brownsberger, Md, PC | Physical Medicine & Rehabilitation | 3769 Crossings Dr, Prescott, AZ 86305-7121 | 2007-06-12 |
| 1871559708 | Eric Baumann | Physical Medicine & Rehabilitation | 2100 Centerpointe West Dr, Prescott, AZ 86301-8487 | 2006-04-20 |
| 1588620421 | Eric Baumann Md, PC | Physical Medicine & Rehabilitation | 2100 Centerpointe West Dr, Prescott, AZ 86301-8487 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154967750 | Pain & Wellness of Arizona, LLC | Physical Medicine & Rehabilitation | 3120 E Union Hills Dr Ste 201, Phoenix, AZ 85050-3454 | 2019-11-19 |
| 1831730050 | Restorative Care of Arizona, P.C. | Physical Medicine & Rehabilitation | 2150 E Highland Ave Ste 107, Phoenix, AZ 85016-4720 | 2019-09-30 |
| 1134785967 | Dylan Irish | Physical Medicine & Rehabilitation | 5233 E Southern Ave Ste 104, Mesa, AZ 85206-3628 | 2019-05-16 |
| 1134782097 | Thoroughbred Medical | Physical Medicine & Rehabilitation | 1521 E. Tangerine Road, Suite 201, Oro Valley, AZ 85755 | 2019-04-17 |
| 1194285387 | Apr Med Group LLC | Physical Medicine & Rehabilitation | 10605 N Hayden Rd Ste D102, Scottsdale, AZ 85260-5686 | 2019-03-22 |
| 1932683919 | Gemma Justice Lopez | Physical Medicine & Rehabilitation | 22321 E Cherrywood Dr, Queen Creek, AZ 85142-4827 | 2018-09-17 |
| 1003325945 | North Scottsdale Pro | Physical Medicine & Rehabilitation | 8952 E Desert Cove Ave Ste 103, Scottsdale, AZ 85260-6776 | 2017-09-22 |
| 1518496702 | Saa Healthcare LLC | Physical Medicine & Rehabilitation | 6320 W Union Hills Dr Ste 1400b, Glendale, AZ 85308-1061 | 2017-06-09 |
| 1760815237 | Dr Sheba Jilani | Physical Medicine & Rehabilitation | 4515 S Mcclintock Dr Ste 118, Tempe, AZ 85282-7381 | 2013-08-19 |
| 1437437605 | M S C Holding Group LLC | Physical Medicine & Rehabilitation | 1640 S Stapley Dr, Suite 245, Mesa, AZ 85204-6667 | 2011-07-22 |
| 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.