DR. BRUCE ALLEN BENJAMIN (NPI# 1205162393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205162393 |
| Entity Type | Individual |
| Full Name | DR. BRUCE ALLEN BENJAMIN |
| Credential | PH.D. |
| Practice Address |
1111 W 17th St Tulsa OK 74107-1800 |
| Practice Telephone | 9185611222 |
| Practice Fax Number | 9185618414 |
| Mailing Telephone | 9185611222 |
| Mailing Fax Number | 9185618418 |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1102X |
Specialist Specialization: Research Study |
Other Service Providers |
| Street Address |
1111 W 17TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74107-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902423296 | Emily Madrak | Specialist/Technologist | 1111 W 17th St, Tulsa, OK 74107-1886 | 2020-07-02 |
| 1043839012 | Travis John Brachtenbach | Student in an Organized Health Care Education/Training Program | 1111 W 17th St, Tulsa, OK 74107-1886 | 2020-04-10 |
| 1316575913 | Hallie Frederick | Student in an Organized Health Care Education/Training Program | 1111 W 17th St, Tulsa, OK 74107-1886 | 2020-03-30 |
| 1285262899 | Jonathon Gurule | Student in an Organized Health Care Education/Training Program | 1111 W 17th St, Tulsa, OK 74107-1886 | 2020-03-30 |
| 1194353086 | Dipa Puwar | Student in an Organized Health Care Education/Training Program | 1111 W 17th St, Tulsa, OK 74107-1886 | 2020-03-28 |
| 1215564372 | Fernando Magana Herrera | Student in an Organized Health Care Education/Training Program | 1111 W 17th St, Tulsa, OK 74107-1886 | 2020-03-26 |
| 1427685536 | Desiree C Lyon | Student in an Organized Health Care Education/Training Program | 1111 W 17th St, Tulsa, OK 74107-1886 | 2020-03-26 |
| 1568099794 | Jennifer Cox | Student in an Organized Health Care Education/Training Program | 1111 W 17th St, Tulsa, OK 74107-1886 | 2020-03-26 |
| 1487281705 | Mohammed Shaban | Student in an Organized Health Care Education/Training Program | 1111 W 17th St, Tulsa, OK 74107-1886 | 2020-03-25 |
| 1972130631 | Christopher Thomas Dipesa | Student in an Organized Health Care Education/Training Program | 1111 W 17th St, Tulsa, OK 74107-1886 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508493784 | Squareone Compassion Inc | Clinic/Center | 5323 South 65th West Avenue, Tulsa, OK 74107 | 2020-03-26 |
| 1649772476 | Lauren Michele Rogers | Student in an Organized Health Care Education/Training Program | 1111 W. 17th St., Barson 241, Tulsa, OK 74107 | 2018-03-07 |
| 1336641828 | Frank Patrick Goodman | Student in an Organized Health Care Education/Training Program | 2345 Sw Blvd, Tulsa, OK 74107 | 2018-03-01 |
| 1659827269 | Careatc - America Waste | Clinic/Center | 23322 Southwest Blvd, Tulsa, OK 74107 | 2016-09-01 |
| 1538530886 | Jeremy Michael Bowles | Pharmacist | 4227 Southwest Boulevard, Tulsa, OK 74107 | 2015-10-13 |
| 1760725865 | Nicholas Alexander | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd., Osu Health Care Center, Tulsa, OK 74107 | 2013-03-27 |
| 1295095321 | Robert Steven Wedding | Counselor | 6033 S. 31 St. West Ave., Tulsa, OK 74107 | 2012-05-23 |
| 1295911451 | American Current Care P.a. | Clinic/Center | 5682 W Skelly Drive, Tulsa, OK 74107 | 2008-01-17 |
| 1821200072 | Leeca Jenkins | Counselor | 2007 W. 57th St, Tulsa, OK 74107 | 2007-05-03 |
| 1477670552 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 5682 W. Skelly Drive, Tulsa, OK 74107 | 2007-03-23 |
| Find all providers in zip 74107 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720304371 | Li Zhang | Specialist | 246 Noble Research Ctr, Stillwater, OK 74078-3034 | 2010-04-07 |
| 1689803983 | Angela May Raper | Specialist | 1100 Ne 13th St, Oklahoma City, OK 73117-1039 | 2009-07-08 |
| 1346393584 | Health Research Institute | Specialist | 1044 Sw 44th St, Suite 504, Oklahoma City, OK 73109-3613 | 2007-01-19 |
| 1922014588 | Oklahoma Foundation for Digestive Research | Specialist | 1000 N Lincoln Blvd, Suite 210, Oklahoma City, OK 73104 | 2006-08-01 |
Please comment or provide details below to improve the information on DR. BRUCE ALLEN BENJAMIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.