BRIAN D. BENNEYWORTH M.D. – NPI #1174657084
Pediatrics

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

BRIAN BENNEYWORTH is a physician located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1174657084 to BRIAN BENNEYWORTH on March 15, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2080P0203X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Critical Care Medicine

The NPI profile was previously updated about 9 years ago on Jan 24, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRIAN BENNEYWORTH below.

NPI Profile for
BRIAN D. BENNEYWORTH

NPI Number
1174657084
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRIAN D. BENNEYWORTH
Credentials
M.D.
Primary location
705 RILEY HOSPITAL DR
ROC 4270
INDIANAPOLIS, IN 46202-5109
Phone: (317) 274-7208 Fax: (317) 274-3442
Mailing address
PO BOX 1026
INDIANAPOLIS, IN 46206-1026
Phone: (317) 274-1201 Fax: (317) 278-9905
Sole Proprietor
No
Updated
Identifiers

Identifiers for BRIAN BENNEYWORTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICAREINP01751302
MEDICAIDIN201061570
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0203X
- Pediatrics / Pediatric Critical Care Medicine (Primary)
IN 01070955
207LC0200X
- Anesthesiology / Critical Care Medicine
IN 01070955

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.