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DR. BENJAMIN B FANN MD
NPI 1255315560
General Practice in Boone, NC

Active since November 30, 2005
838 STATE FARM RD, SUITE 2, BOONE, NC 28607(828) 386-1001(828) 358-1317 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Benjamin B Fann Md NPPES

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

DR. BENJAMIN B FANN MD (NPI 1255315560) is an individual general practice provider in Boone, North Carolina, licensed in North Carolina (33034) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1255315560
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. BENJAMIN B FANNCredential: MD
Location Address838 STATE FARM RD, SUITE 2Boone, NC 28607-5391
Mailing Address838 State Farm Rd, Suite 2Boone, NC 28607-5391 · (828) 386-1001 · Fax (828) 358-1317
Phone(828) 386-1001
Fax(828) 358-1317
Sole ProprietorYes
Enumeration DateNovember 30, 2005
Last NPPES UpdateJuly 19, 2012
✔ NPI 1255315560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NC · 33034
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
838 STATE FARM RD, Boone, NC 28607
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Other Identifiers 6

Medicaid7931142NC
Medicare ID-Type Unspecified2158475BNC
Other2337582Group
Other31142NC · Bcbs
Other07070484NC · Uhc
Medicare UPINC73333

Other Providers at the Same Location NPPES 8

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

TRUE NORTH COUNSELING PLLC
Social Worker (Clinical)
838 STATE FARM RD, SUITE 1
BOONE, NC 28607
Watauga County (828) 386-6000
ACUPUNCTURE OF BOONE
Acupuncturist
838 STATE FARM RD, SUITE 1
BOONE, NC 28607
Watauga County (828) 386-1172
DR. PAMELA JEAN HASTIE ISAENKO D.C.
Chiropractor
838 STATE FARM RD, UNIT 1
BOONE, NC 28607
Watauga County (828) 355-9858
ELIZABETH LOUISE MAYS LICENSED ESTHETICIAN
Specialist
838 STATE FARM RD, SUITE 1
BOONE, NC 28607
Watauga County (828) 386-1172
KATHRYN BURLESON CERTIFIED ROLFER
Massage Therapist
838 STATE FARM RD
BOONE, NC 28607
Watauga County (828) 773-5511
LEAH WOLFF-POMFREY LCSW, LCAS-A
Social Worker (Clinical)
838 STATE FARM RD
BOONE, NC 28607
Watauga County (828) 263-6091
PAMELA LANKFORD
Social Worker
838 STATE FARM RD
BOONE, NC 28607
Watauga County (828) 386-1001
GROVE THERAPY PRACTICE, PLLC
Clinic/Center (Adult Mental Health)
838 STATE FARM RD
BOONE, NC 28607
Watauga County (828) 263-6091

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 Benjamin Fann's NPI number?

The NPI number for Benjamin Fann is 1255315560. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Benjamin Fann located?

Benjamin Fann practices at 838 State Farm Rd Suite 2, Boone, NC 28607. The listed phone number is (828) 386-1001.

What is Benjamin Fann's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Benjamin Fann was last updated on July 19, 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.