Individual
BENJAMIN SCOTT BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-4034
Mailing address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01090630A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1103117458
ANTHEM PTAN
IN
05
—
300039354
—
IN
Enumeration date
04/13/2020
Last updated
05/09/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us