Physician Compare National (NPI:1699727743)

HEALTHCARE PROVIDER: PEGGY BENZING D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1699727743
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870512494
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051114000346
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BENZING
	Individual professional last name
Provider First Name	PEGGY
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	CHICAGO COLLEGE OF OSTEOPATHY
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	EMERGENCY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	GULF COAST HMA PHYSICIAN MANAGEMENT LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7911949466
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	77
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1720 E VENICE AVE
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	VENICE
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	342923190
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y