MEDICARE: DR. BENSON DREW TRAN 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	2085R0202X	Diagnostic Radiology Physician	036144440	IL
2	2085R0202X	Diagnostic Radiology Physician	P0144	TX

Other Identifiers

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

General Provider Information

NPI Number	:	1902069537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENSON DREW TRAN MD

Provider Business Mailing Address
First Line	:	619 SOUTH 19TH STREET - JT 3N
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35249-6830
Country	:	US
Telephone Number	:	281-857-7477
Fax Number	:	205-975-9262

Provider Business Practice Location Address
First Line	:	619 SOUTH 19TH STREET - JT 3N
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35249-6830
Country	:	US
Telephone Number	:	281-857-7477
Fax Number	:	205-975-9262

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

Provider Enumeration Date	:	07/03/2008
Last Update Date	:	04/23/2025

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