Benson, Bradley Vernon

Benson, Bradley Vernon is an individual health care provider with primary practice located at 1001 Willow Creek Rd Ste 3100 , Prescott AZ 86301-1614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Benson, Bradley Vernon can be contacted via phone (928) 445-4818.

Contact Information

Primary practice address
1001 Willow Creek Rd Ste 3100 Prescott AZ 86301-1614
Phone: (928) 445-4818
Fax: (928) 445-4837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 5884 Arizona

Profile Details

NPI number 1619104130
LBN Legal business name Benson, Bradley Vernon
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2009
Last updated Mar 7th, 2023 - about 2 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 1619104130 NPPES
Arizona MEDICAID 710932

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