BENJAMIN BRAINERD
NPI 1558112300
Student in an Organized Health Care Education/Training Program in Fort Eisenhower, GA
About Benjamin Brainerd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN BRAINERD (NPI 1558112300) is an individual student in an organized health care education/training program in Fort Eisenhower, Georgia and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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 Brainerd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
FORT GORDON, GA 30905
FORT EISENHOWER, GA 30905
FORT GORDON, GA 30905
FORT GORDON, GA 30905
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 Brainerd's NPI number?
The NPI number for Benjamin Brainerd is 1558112300. It was assigned to this individual provider in the NPPES registry on March 29, 2024.
Where is Benjamin Brainerd located?
Benjamin Brainerd practices at 300 East Hospital Road, Fort Eisenhower, GA 30905. The listed phone number is (706) 787-1647.
What is Benjamin Brainerd's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Benjamin Brainerd enrolled in Medicare?
Yes. Benjamin Brainerd is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Benjamin Brainerd was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Benjamin Brainerd · NPI 1558112300
Student in an Organized Health Care Education/Training Program provider in Fort Eisenhower, Georgia. Individual provider, active in the CMS NPPES registry since March 29, 2024.
## Identity
- **NPI:** 1558112300 (Entity type: Individual)
- **Enumerated:** March 29, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 EAST HOSPITAL ROAD, Fort Eisenhower, GA 30905-5650
- **Phone:** (706) 787-1647
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1558112300) · Data from the CMS NPPES public registry.