MR. LOGAN BENEDICT
NPI 1508588088
Specialist/Technologist - Athletic Trainer in Bolivar, MO

Q: What is Logan Benedict's NPI number?

The NPI number for Logan Benedict is 1508588088. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Q: What is Logan Benedict's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Q: When was this NPI record last updated?

The NPPES record for Logan Benedict was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since September 13, 2022

1155 W PARKVIEW ST, BOLIVAR, MO 65613(417) 777-7763 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2025, Sep 13, 2022 (2 updates tracked since 2022).

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About Mr. Logan Benedict NPPES

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

MR. LOGAN BENEDICT (NPI 1508588088) is an individual athletic trainer provider in Bolivar, Missouri, licensed in Missouri (2023035475) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1508588088

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameMR. LOGAN BENEDICT

Location Address1155 W PARKVIEW STBolivar, MO 65613-7801

Mailing Address659 Kays Point RdLake Ozark, MO 65049-4779 · (573) 723-0521

Phone(417) 777-7763

Sole ProprietorNo

Enumeration DateSeptember 13, 2022

Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration

NPPES CertifiedNovember 6, 2025

✔ NPI 1508588088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in MO · 2023035475

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

1155 W PARKVIEW ST, Bolivar, MO 65613

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Other Providers at the Same Location NPPES 10

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

DR. TROY MORRISON D.O.

Orthopaedic Surgery

1155 W PARKVIEW ST, SUITE 2D
BOLIVAR, MO 65613

Polk County (417) 777-2663

CITIZENS MEMORIAL HEALTHCARE CLINICS

Durable Medical Equipment & Medical Supplies

1155 W PARKVIEW ST, SUITE 2D
BOLIVAR, MO 65613

Polk County (417) 777-2663

JACOB (JAKE) WILLIAM CONDREN PA-C

Physician Assistant

1155 W PARKVIEW ST, SUITE 2D
BOLIVAR, MO 65613

Polk County (417) 777-2663

DR. MATTHEW CAMPBELL ERICKSEN D.O.

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

1155 W PARKVIEW ST, SUITE 2J
BOLIVAR, MO 65613

Polk County (417) 328-7000

DR. KENNETH RONALD SMITH MD

Orthopaedic Surgery

1155 W PARKVIEW ST, SUITE 2D
BOLIVAR, MO 65613

Polk County (417) 777-2663

DR. WALTER WAYNE WOLF III D.O.

Surgery

1155 W PARKVIEW ST, SUITE 1F
BOLIVAR, MO 65613

Polk County (417) 326-8700

JULIA MAGDICI FNP-C

Nurse Practitioner (Family)

1155 W PARKVIEW ST
BOLIVAR, MO 65613

Polk County (417) 328-7000

JESSICA ELIZABETH SCHOENROCK

Nurse Practitioner

1155 W PARKVIEW ST
BOLIVAR, MO 65613

Polk County (417) 326-6000

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 Logan Benedict's NPI number?

The NPI number for Logan Benedict is 1508588088. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Logan Benedict located?

Logan Benedict practices at 1155 W Parkview St, Bolivar, MO 65613. The listed phone number is (417) 777-7763.

What is Logan Benedict's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Logan Benedict was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.