Individual
BENJAMIN ALLEN BALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-4720
(937) 723-3245
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8493
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
02007688A
IN
207R00000X
Internal Medicine Physician
Primary
34.013041
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
05715
KY
207RP1001X
Pulmonary Disease Physician
02007688A
IN
207RP1001X
Pulmonary Disease Physician
05715
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102334633
ANTHEM PTAN
IN
05
—
300089740
—
IN
Enumeration date
03/29/2016
Last updated
04/28/2026
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