DR. BENTON JOHN DAVIDSON MD
NPI 1013944016
Psychiatry & Neurology - Neurology in Salem, OR

Active since June 26, 2006
1174 CORNUCOPIA ST NW, SUITE 240, SALEM, OR 97304(503) 385-1664(503) 991-5768 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Benton John Davidson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BENTON JOHN DAVIDSON MD (NPI 1013944016) is an individual neurology provider in Salem, Oregon, licensed in Oregon (MD21643) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1013944016
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. BENTON JOHN DAVIDSONCredential: MD
Location Address1174 CORNUCOPIA ST NW, SUITE 240Salem, OR 97304-3193
Mailing Address1174 Cornucopia St Nw, Suite 240Salem, OR 97304-3193 · (503) 385-1664 · Fax (503) 991-5768
Fax(503) 991-5768
Sole ProprietorYes
Enumeration DateJune 26, 2006
Last NPPES UpdateMarch 28, 2012
NPI 1013944016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in OR · MD21643
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License MD21643 (OR)
1174 CORNUCOPIA ST NW, Salem, OR 97304

Other Identifiers 3

Medicare ID-Type UnspecifiedR105144OR
Medicaid288103OR
Medicare UPING03664OR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benton Davidson's NPI number?

The NPI number for Benton Davidson is 1013944016. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Benton Davidson located?

Benton Davidson practices at 1174 Cornucopia St NW Suite 240, Salem, OR 97304. The listed phone number is (503) 385-1664.

What is Benton Davidson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Benton Davidson was last updated on March 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.