BENJAMIN BRENDAMOUR MD
NPI 1659076396
Student in an Organized Health Care Education/Training Program in Charlotte, NC

Q: What is Benjamin Brendamour's NPI number?

The NPI number for Benjamin Brendamour is 1659076396. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Benjamin Brendamour's specialty?

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

Active since April 03, 2023PECOS Enrolled

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-2000 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Benjamin Brendamour Md NPPES

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

BENJAMIN BRENDAMOUR MD (NPI 1659076396) is an individual student in an organized health care education/training program in Charlotte, North Carolina and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659076396

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBENJAMIN BRENDAMOURCredential: MD

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5871

Mailing Address125 W Tremont Ave Unit 626Charlotte, NC 28203-5543

Phone(704) 355-2000

Sole ProprietorNo

Enumeration DateApril 3, 2023

NPPES CertifiedApril 3, 2023

✔ NPI 1659076396 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.

1000 BLYTHE BLVD, Charlotte, NC 28203

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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 Brendamour Md 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.

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)