MEDICARE: ROSS BENJAMIN TOURIEL

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	207P00000X	Emergency Medicine Physician	1024657	MA
2	207P00000X	Emergency Medicine Physician	ME179727	FL
3	207P00000X	Emergency Medicine Physician	4351048313	MI
4	207P00000X	Emergency Medicine Physician	A192784	CA

General Provider Information

NPI Number	:	1356920615
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSS BENJAMIN TOURIEL

Provider Business Mailing Address
First Line	:	2615 CHESTER AVE
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93301-2014
Country	:	US
Telephone Number	:	661-863-3945
Fax Number	:

Provider Business Practice Location Address
First Line	:	2799 W GRAND BLVD
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48202-2608
Country	:	US
Telephone Number	:	313-916-1601
Fax Number	:

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

Provider Enumeration Date	:	04/05/2021
Last Update Date	:	03/09/2026

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Directions to “ ROSS BENJAMIN TOURIEL ” Practice Location

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