Individual
DR. BENJAMIN B BLACKMON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 BLARNEY DR, COLUMBIA, SC 29223-6244
(803) 865-8200
(803) 419-7910
Mailing address
1117 GLENWOOD CT, COLUMBIA, SC 29204-3361
(803) 467-4171
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
10460
SC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
10460
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
10460
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050028865
RR MEDICARE
SC
01
—
104602
SELECT HEALTH
SC
05
—
104602
—
SC
01
—
2000024
CCP
SC
01
—
4129447
AETNA
SC
01
—
77778
MEDCOST
SC
Enumeration date
10/12/2006
Last updated
01/31/2025
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