Healthcare Provider Details

I. General information

NPI: 1053638148
Provider Name (Legal Business Name): LEVI POTTER BENSON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CHURCH ST
NASHVILLE TN
37236-0002
US

IV. Provider business mailing address

2000 CHURCH ST
NASHVILLE TN
37236-0002
US

V. Phone/Fax

Practice location:
  • Phone: 615-284-4672
  • Fax: 615-284-5752
Mailing address:
  • Phone: 615-284-4672
  • Fax: 615-284-5752

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD0000048129
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: