Healthcare Provider Details

I. General information

NPI: 1104276740
Provider Name (Legal Business Name): BENJAMIN SERXNER M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2016
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9330 STOCKDALE HWY STE 200
BAKERSFIELD CA
93311-3615
US

IV. Provider business mailing address

PO BOX 2858
BAKERSFIELD CA
93303-2858
US

V. Phone/Fax

Practice location:
  • Phone: 661-324-0500
  • Fax: 661-324-0600
Mailing address:
  • Phone: 661-324-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberA116775
License Number StateCA

VIII. Authorized Official

Name: DR. BENJAMIN JON SERXNER
Title or Position: CEO/NEUROSURGEON
Credential: M.D.
Phone: 661-858-8284