Healthcare Provider Details

I. General information

NPI: 1750744819
Provider Name (Legal Business Name): DELBERT AUGUST BENZENHAFER III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8756 BOYNTON BEACH BLVD STE 150
BOYNTON BEACH FL
33472-4442
US

IV. Provider business mailing address

1554 SW 6TH TER
BOCA RATON FL
33486-7007
US

V. Phone/Fax

Practice location:
  • Phone: 954-254-8074
  • Fax:
Mailing address:
  • Phone: 954-254-8074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD228560
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberCDR.0006337
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number166345
License Number StateMT
# 4
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number14265599-1235
License Number StateUT
# 5
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number04-52470
License Number StateKS
# 6
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberME157131
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberW3090
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: