Healthcare Provider Details

I. General information

NPI: 1740408384
Provider Name (Legal Business Name): AARON TODD BENNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 E 31ST ST
KEARNEY NE
68847-2918
US

IV. Provider business mailing address

10 E 31ST ST
KEARNEY NE
68847-2918
US

V. Phone/Fax

Practice location:
  • Phone: 308-865-7900
  • Fax:
Mailing address:
  • Phone: 308-865-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberW1553
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number24353
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number228062
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: