Healthcare Provider Details

I. General information

NPI: 1811968225
Provider Name (Legal Business Name): BENJAMIN J. GEORGE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2006
Last Update Date: 04/02/2025
Certification Date: 04/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E COLLEGE DR
COLBY KS
67701-3702
US

IV. Provider business mailing address

2701 PRAIRIE FLAX ST
BERTHOUD CO
80513-8319
US

V. Phone/Fax

Practice location:
  • Phone: 785-460-1713
  • Fax:
Mailing address:
  • Phone: 210-471-1217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberC1-0007148
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberN1326
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number35.149796
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: