Myles B Benjamin, FNP
Nurse Practitioner, Family in Bartlett, TN. Individual provider (NPI-1).
NPI number1831474485
StatusActive
Last updated in NPPESAug 23, 2016
Details
- NPI
- 1831474485
- Entity type
- Individual (NPI-1)
- Name
- Mr. Myles B Benjamin
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2011
- Last updated
- Aug 23, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 16140 | TN | Yes |
| 163W00000X | Registered Nurse | 161274 | TN |
Practice location
7378 Yale RdSuite A
Bartlett, TN 38133-3604
Phone 901-387-0193
Mailing address
7378 Yale RdBartlett, TN 38133-3604
Phone 901-387-0193
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