Individual
DR. BRADLEY JOHN BENSON
Active
Individual
DR. BRADLEY JOHN BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40445
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0059976
—
MT
05
—
033595900
—
MN
01
—
04-00123
MEDICA PRIMARY
MN
01
—
04-01174
MEDICA CHOICE
MN
01
—
04-01462
MEDICA PEDS
MN
01
—
04-13860
MEDICA CHOICE PCC
MN
05
—
0518308
—
IA
01
—
1020130
PREFERRED ONE
MN
01
—
110184765
UNITED HEALTHCARE
MN
01
—
126829
UCARE
MN
05
—
32592700
—
WI
01
—
50R05BE
BCBS
MN
05
—
7611779
—
NC
01
—
841569
ARAZ
MN
01
—
H16364
UPIN
MN
01
—
HP26198
HEALTHPARTNERS
MN
Enumeration date
06/23/2006
Last updated
08/05/2014
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