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BENJAMIN TEBBE-TRUJILLO
NPI 1275320566
Military Health Care Provider in Eglin Afb, FL

Active since April 22, 2025
307 BOATNER RD STE 114, EGLIN AFB, FL 32542(850) 883-8600 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Benjamin Tebbe-trujillo NPPES

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

BENJAMIN TEBBE-TRUJILLO (NPI 1275320566) is an individual military health care provider provider in Eglin Afb, Florida and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1275320566
Entity TypeIndividualMale
Primary Taxonomy171000000X
Provider Legal NameBENJAMIN TEBBE-TRUJILLO
Location Address307 BOATNER RD STE 114Eglin Afb, FL 32542-1302
Mailing Address200 Sweetgum CtNiceville, FL 32578-1253
Phone(850) 883-8600
Sole ProprietorNo
Enumeration DateApril 22, 2025
Last NPPES UpdateMay 29, 2025
NPPES CertifiedMay 29, 2025
✔ NPI 1275320566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
307 BOATNER RD STE 114, Eglin Afb, FL 32542
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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.

DR. ROLAND JOSEPH GINCAUSKAS M. D.
Anesthesiology
307 BOATNER RD STE 114
EGLIN, FL 32542
Okaloosa County (850) 883-9506
DR. GARY M WALKER M.D.
Plastic Surgery
307 BOATNER RD STE 114, 96 MDG/CC
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8221
MS. STEPHANIE J DURDEN ARNP
Nurse Practitioner (Family)
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
DR. ADAM ANDREW KUIPERS D.D.S.
Dentist (General Practice)
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (734) 646-6540
DR. GALE TIMOTHY TUPER JR. MD
Otolaryngology
307 BOATNER RD STE 114, 96TH MEDICAL GROUP
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8264
MRS. MONICA B DUNN RDH, CDA
Dental Hygienist
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8712
MRS. PATRICIA MARIE DUVALL O.T.R.
Military Health Care Provider
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8586
MRS. ANDREA G. KERN RDH
Dental Hygienist
307 BOATNER RD STE 114, 96TH DENTAL SQD
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8712

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 Tebbe-trujillo's NPI number?

The NPI number for Benjamin Tebbe-trujillo is 1275320566. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Benjamin Tebbe-trujillo located?

Benjamin Tebbe-trujillo practices at 307 Boatner Rd Ste 114, Eglin Afb, FL 32542. The listed phone number is (850) 883-8600.

What is Benjamin Tebbe-trujillo's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Benjamin Tebbe-trujillo was last updated on May 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.