Benneyworth, Brian D.

Benneyworth, Brian D. is an individual health care provider with primary practice located at 705 Riley Hospital Dr Roc 4270, Indianapolis IN 46202-5109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Benneyworth, Brian D. can be contacted via phone (317) 274-7208.

Contact Information

Primary practice address
705 Riley Hospital Dr Roc 4270 Indianapolis IN 46202-5109
Phone: (317) 274-7208
Fax: (317) 274-3442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 01070955 Indiana
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 01070955 Indiana

Profile Details

NPI number 1174657084
LBN Legal business name Benneyworth, Brian D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jan 24th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174657084 NPPES
Indiana Other P01751302 RR MEDICARE
Indiana MEDICAID 201061570 RR MEDICARE

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