DR. BENJAMIN THOMAS PRUDEN M.D.
NPI 1235497116
Anesthesiology in Charlotte, NC

Q: What is Benjamin Pruden's NPI number?

The NPI number for Benjamin Pruden is 1235497116. It was assigned to this individual provider in the NPPES registry on April 27, 2012.

Q: What is Benjamin Pruden's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Pruden was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 27, 2012PECOS EnrolledAccepts Medicare Assignment

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2000 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Benjamin Thomas Pruden M.d. NPPES

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

DR. BENJAMIN THOMAS PRUDEN M.D. (NPI 1235497116) is an individual anesthesiology provider in Charlotte, North Carolina, licensed in North Carolina (2018-01636) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Indiana University School Of Medicine (2012).

NPPES Registry Identity

NPI1235497116

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameDR. BENJAMIN THOMAS PRUDENCredential: M.D.

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing Address6135 Park South Dr Ste 510Charlotte, NC 28210-0100 · (704) 749-3116

Phone(704) 355-2000

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2012

Enumeration DateApril 27, 2012

Last NPPES UpdateSeptember 23, 2024

NPPES CertifiedSeptember 23, 2024

✔ NPI 1235497116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

Licenses✔ Licensed in NC · 2018-01636✔ Licensed in FL · ME126293

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TRN17175 (FL)

1000 BLYTHE BLVD, Charlotte, NC 28203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Benjamin Thomas Pruden M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678860459

PECOS Enrollment IDI20180820000077

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Benjamin Pruden reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chs Anesthesia Services Group Inc

8.8 mi

Anesthesiology

8800 N TRYON ST
Charlotte, NC 28262

Reassigned Medicare billing, North Carolina enrollment
1,212 clinicians in this Medicare group

NPI 1346649415 (704) 863-6000

Ut Lebonheur Pediatric Specialists, Inc.

520 mi

Pediatrics

848 ADAMS AVE.
Memphis, TN 38103

Reassigned Medicare billing, Tennessee enrollment
582 clinicians in this Medicare group

NPI 1093024101 (901) 287-7337

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

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.

JENNIFER EGAN M.D.

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