MEDICARE: LEON BENJAMIN

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	347C00000X	Private Vehicle
2	101YP1600X	Pastoral Counselor

General Provider Information

NPI Number	:	1992652358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEON BENJAMIN

Provider Business Mailing Address
First Line	:	5941 SAINT MORITZ DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23224-4533
Country	:	US
Telephone Number	:	804-426-5314
Fax Number	:

Provider Business Practice Location Address
First Line	:	5717 MIDLOTHIAN TPKE
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-6115
Country	:	US
Telephone Number	:	804-230-5950
Fax Number	:

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

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “ LEON BENJAMIN ” Practice Location

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