DR. BENSEN BENJAMIN FAN M.D. NPI 1023350113

NPI Information

NPI: 1023350113
Provider Name: DR. BENSEN BENJAMIN FAN, M.D.
Classification: Orthopaedic Surgery - 207XP3100X
Entity Type: Individual

Specialization: Pediatric Orthopaedic Surgery

PECOS Registration: Yes

Address:
1222 S ORANGE AVE FL 5
ORLANDO, FL
ZIP 32806
Phone: (844) 362-1735
Get Directions

DR. Bensen Benjamin Fan, M.D. is a pediatric orthopaedic surgery orthopaedic surgery in Orlando, FL. The provider is an orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. DR. Bensen Benjamin Fan, M.D. NPI is 1023350113. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1222 S ORANGE AVE FL 5
ORLANDO, FL
ZIP 32806-215
Phone: (844) 362-1735
Fax: (321) 841-3040

The NPI 1023350113 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/26/2013 and was last updated on 2/29/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207X00000X	Orthopaedic Surgery		ME152894	FLORIDA	No
2	207XP3100X	Orthopaedic Surgery	Pediatric Orthopaedic Surgery	ME152894	FLORIDA	Yes
3	207X00000X	Orthopaedic Surgery		A154107	CALIFORNIA	No
4	207X00000X	Orthopaedic Surgery		25MA10638900	NEW JERSEY	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	112713000	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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