Individual
DR. JONATHAN ALEXANDER BENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
395 W COUGAR BLVD STE 803, PROVO, UT 84604-3311
(801) 235-7246
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
11260649-1204
UT
208100000X
Physical Medicine & Rehabilitation Physician
QO412
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
11260649-1204
UT
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Q0412
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380810701
—
TX
Enumeration date
04/15/2016
Last updated
04/29/2026
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