# ROBERT R BENNER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346231529
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 75676 | MA | Yes |

## Other

- **Enumeration date:** 11/04/2005
- **Last updated:** 05/22/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000022178 | BMC HEALTH NET PLAN | — |
| 01 | — | 0000799 | NEIGHBORHOOD HEALTH PLAN | — |
| 01 | — | 043517461 | CHAMPUS | — |
| 01 | — | 10034446 | CAPITAL DISTRICT PHP | — |
| 01 | — | 10540 | HEATH NEW ENGLAND | — |
| 01 | — | 153344 | MVP SELECT | — |
| 01 | — | 160052693 | MEDICARE RAILROAD | — |
| 01 | — | 2345333 | AETNA | — |
| 05 | — | 3094561 | — | MA |
| 01 | — | 32596 | HEALTHY START | — |
| 01 | — | 80314 | GIC INDEMNITY PLAN | — |
| 01 | — | F29387 | HARVARD COMM HEALTH | — |
| 01 | — | J12595 | BLUE SHIELD | — |