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BENJAMIN TEBBE-TRUJILLO
NPI 1275320566
General Practice 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: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Aug 12, 2026, May 29, 2025 (2 updates tracked since 2025).

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 general practice provider in Eglin Afb, Florida, licensed in Colorado (DR.0078261) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1275320566
Entity TypeIndividualMale
Primary Taxonomy208D00000X
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 UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1275320566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CO · DR.0078261
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
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.

LUCAS RYAN PETKEWITZ DPT
Physical Therapist
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
DR. JAMES SAXTON
Anesthesiology
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9394
BODEN JAMES PORT DO
General Practice
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
HEATHER DAWN BROCK
Nurse Practitioner (Family)
307 BOATNER RD STE 114
EGLIN, FL 32542
Okaloosa County (850) 883-9042
DR. ANDREW KEITH MATTHIES D.O.
Anesthesiology
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9394
ANJELI KRISTEN NAYAR POPE M.D.
Internal Medicine
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9906
DR. ERIC MICHAEL WEISS MD
General Practice
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
CAMRON BOWMAN DO
Military Health Care Provider
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8288

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 General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Benjamin Tebbe-trujillo was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.