1427009455 NPI number — BENFIELD & PODGER ASSOCS., LTD.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427009455 NPI number — BENFIELD & PODGER ASSOCS., LTD.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BENFIELD & PODGER ASSOCS., LTD.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427009455
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1985 TATE BLVD SE
Provider Second Line Business Mailing Address:
STE. 152
Provider Business Mailing Address City Name:
HICKORY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28602-1433
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-304-9096
Provider Business Mailing Address Fax Number:
828-304-0213

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1985 TATE BLVD SE
Provider Second Line Business Practice Location Address:
STE. 152
Provider Business Practice Location Address City Name:
HICKORY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28602-1433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-304-9096
Provider Business Practice Location Address Fax Number:
828-304-0213
Provider Enumeration Date:
05/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BENFIELD
Authorized Official First Name:
PAT
Authorized Official Middle Name:
Authorized Official Title or Position:
CLINICAL DIRECTOR
Authorized Official Telephone Number:
828-304-9096

Provider Taxonomy Codes

  • Taxonomy code: 225C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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