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NPI Code Detail

MEDICARE: DR. PETER CHRISTOPHER BENSON M.D.

MEDICARE:  DR. PETER CHRISTOPHER BENSON  M.D.
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
1207P00000XEmergency Medicine PhysicianA69360CA
2146N00000XBasic Emergency Medical Technician
33416L0300XLand Ambulance
4261QU0200XUrgent Care Clinic/Center
5261QE0002XEmergency Care Clinic/Center
6146L00000XParamedic
7146M00000XIntermediate Emergency Medical Technician
8363A00000XPhysician Assistant
9207Q00000XFamily Medicine PhysicianA69390CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487680393
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETER CHRISTOPHER BENSON M.D.
Provider Business Mailing Address
First Line : 1601 YGNACIO VALLEY RD
Second Line : HYPERBARIC UNIT
City : WALNUT CREEK
State : CA
Zip : 94598-3122
Country : US
Telephone Number : 925-947-3212
Fax Number :
Provider Business Practice Location Address
First Line : 1990 N CALIFORNIA BLVD
Second Line : 8TH FLOOR
City : WALNUT CREEK
State : CA
Zip : 94596-3742
Country : US
Telephone Number : 925-895-2519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 03/25/2015

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Directions to “ DR. PETER CHRISTOPHER BENSON M.D.” Practice Location

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