# DR. BENJAMIN HARDY CRENSHAW

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

## Provider details

- **NPI number:** 1477580967
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2014015787 | MO | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 04/28/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0717751 | — | IA |
| 01 | — | 1046258 | PREFERRED ONE | MN |
| 05 | — | 34833600 | — | WI |
| 01 | — | 66-09408 | MEDICA CHOICE & PRIMARY | MN |
| 01 | — | 758T5CR | BCBS | MN |
| 05 | — | 773938900 | — | MN |
| 01 | — | HP60848 | HEALTHPARTNERS | MN |
