Healthcare Provider Details

I. General information

NPI: 1326485087
Provider Name (Legal Business Name): ADAM ROD BENSIMHON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2013
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 CHILDRENS AVE
OKLAHOMA CITY OK
73104-4637
US

IV. Provider business mailing address

PEDIATRIC EDUCATION OFC 101 MANNING DRIVE, CB# 7593
CHAPEL HILL NC
27599-0001
US

V. Phone/Fax

Practice location:
  • Phone: 405-271-5211
  • Fax:
Mailing address:
  • Phone: 919-966-6669
  • Fax: 919-966-7490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0210X
TaxonomyPediatric Nephrology Physician
License Number22859
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: