BENJAMIN DAVID KNICK DO
NPI 1508669045
Student in an Organized Health Care Education/Training Program in Roanoke, VA

Q: What is Benjamin Knick's NPI number?

The NPI number for Benjamin Knick is 1508669045. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Q: What is Benjamin Knick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Knick was last updated on June 4, 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.

Active since March 31, 2025PECOS Enrolled

1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 981-7000 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2026, Mar 24, 2026, Mar 31, 2025 (3 updates tracked since 2025).

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About Benjamin David Knick Do NPPES

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

BENJAMIN DAVID KNICK DO (NPI 1508669045) is an individual student in an organized health care education/training program in Roanoke, Virginia and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1508669045

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBENJAMIN DAVID KNICKCredential: DO

Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838

Mailing Address2145 Mount Pleasant Blvd SeRoanoke, VA 24014-3632 · (540) 427-9200

Phone(540) 981-7000

Sole ProprietorNo

Enumeration DateMarch 31, 2025

Last NPPES UpdateJune 4, 20263 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1508669045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1906 BELLEVIEW AVE SE, Roanoke, VA 24014

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Secondary Practice Locations 3

Location 11970 Roanoke BlvdSalem, VA 24153-6404 · Phone (540) 982-2463

Location 21314 Peters Creek Rd NWRoanoke, VA 24017-2500 · Phone (540) 562-5703

Location 32145 Mount Pleasant Blvd SERoanoke, VA 24014-3632 · Phone (540) 427-9200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin David Knick Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

JOHN K THOMPSON PA-C, ATC

Physician Assistant