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DR. BRIAN D. BENNEYWORTH M.D.
NPI 1174657084
Pediatrics - Pediatric Critical Care Medicine in Indianapolis, IN

Active since March 15, 2007
705 RILEY HOSPITAL DR, ROC 4270, INDIANAPOLIS, IN 46202(317) 274-7208(317) 274-3442 Get Directions Write a Review

NPPES record last updated: January 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Brian D. Benneyworth M.d. NPPES

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

DR. BRIAN D. BENNEYWORTH M.D. (NPI 1174657084) is an individual pediatric critical care medicine provider in Indianapolis, Indiana, licensed in Indiana (01070955) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1174657084
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. BRIAN D. BENNEYWORTHCredential: M.D.
Location Address705 RILEY HOSPITAL DR, ROC 4270Indianapolis, IN 46202-5109
Mailing AddressPo Box 1026Indianapolis, IN 46206-1026 · (317) 274-1201 · Fax (317) 278-9905
Phone(317) 274-7208
Fax(317) 274-3442
Sole ProprietorNo
Enumeration DateMarch 15, 2007
Last NPPES UpdateJanuary 24, 2017
✔ NPI 1174657084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in IN · 01070955
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedAnesthesiology · Critical Care MedicineTaxonomy 207LC0200X · License 01070955 (IN)
705 RILEY HOSPITAL DR, Indianapolis, IN 46202
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Other Identifiers 4

Medicare PIN266180823IN
Medicare PINM400071448IN
Medicaid201061570IN
OtherP01751302IN · Rr Medicare

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOHANNAD MOALLEM M.D.
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
TIA IMHOFF MCGEE FNP-BC
Nurse Practitioner (Family)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 312-2204
JOSHUA WAYNE GOLLUB
Pediatrics (Neonatal-Perinatal Medicine)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 274-4779
NOAH MENAKER DDS
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-3865
DR. ANAS NADER ATA ALJABARI MBBS
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (856) 398-9630
TALIA RAE BOOHER MB BCH BAO
Student in an Organized Health Care Education/Training Program
705 RILEY HOSPITAL DR
INDIANAPOLIS, IN 46202
Marion County (317) 944-7571
JANET R SHAVER NP
Nurse Practitioner (Pediatrics)
705 RILEY HOSPITAL DR, RI 1601
INDIANAPOLIS, IN 46202
Marion County (317) 944-4842
UNIVERSITY PEDIATRIC DENTISTRY ASSOCIATES
Dentist (Pediatric Dentistry)
705 RILEY HOSPITAL DR, ROC - SUITE 4205
INDIANAPOLIS, IN 46202
Marion County (317) 944-9604

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 Brian Benneyworth's NPI number?

The NPI number for Brian Benneyworth is 1174657084. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Brian Benneyworth located?

Brian Benneyworth practices at 705 Riley Hospital Dr Roc 4270, Indianapolis, IN 46202. The listed phone number is (317) 274-7208.

What is Brian Benneyworth's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

When was this NPI record last updated?

The NPPES record for Brian Benneyworth was last updated on January 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.