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Contact Information

BRIAN BENSON, DPM
1108 PORT ARTHUR TER
LEESVILLE, LA71446-4600
 Phone: 337-239-1061
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRIAN BENSON · (Male)

NPI # 1104350883
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/19/2017
Last updated 07/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # POD001453
  • LA License # 326824
  • LA License # 326864
  • GA Medicaid 003232377A
Hospital affiliation(s)
  • BEAUREGARD MEMORIAL HOSPITAL - (Acute Care)
    600 S PINE STREET
    DERIDDER, LA 70634
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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