MEDICARE: DR. BENJAMIN MONSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician	01085929A	IN

General Provider Information

NPI Number	:	1063588812
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN MONSON MD

Provider Business Mailing Address
First Line	:	1000 E MAIN ST
Second Line	:
City	:	DANVILLE
State	:	IN
Zip	:	46122-1948
Country	:	US
Telephone Number	:	317-837-5566
Fax Number	:	317-718-6793

Provider Business Practice Location Address
First Line	:	100 HOSPITAL LN STE 325
Second Line	:
City	:	DANVILLE
State	:	IN
Zip	:	46122-1993
Country	:	US
Telephone Number	:	317-718-7980
Fax Number	:	317-718-7918

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2006
Last Update Date	:	04/29/2026

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