GORDON BENJAMIN MD – NPI #1164595286
Radiology

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

Health Care Provider Taxonomy Code for Radiology

NPI Profile
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GORDON BENJAMIN is a radiologist located in TACOMA, WA. NPPES has assigned the NPI number 1164595286 to GORDON BENJAMIN on November 16, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name GARY BENJAMIN. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0204X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Vascular & Interventional Radiology

The NPI profile was previously updated about 7 years ago on May 13, 2019. 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 GORDON BENJAMIN below.

NPI Profile for
GARY G. BENJAMIN

NPI Number

1164595286

Enumeration Date

Nov 16, 2006
(more than 19 years ago)

Entity Type

Type-1 Individual (Male)

Legal Name

GARY G. BENJAMIN

Professional Name: GORDON BENJAMIN

Credentials

Primary location

1304 FAWCETT AVE STE 100
TACOMA, WA 98402-1900

Phone: (253) 761-4200 Fax: (253) 761-4201

Mailing address

PO BOX 1535
TACOMA, WA 98401-1535

Phone: (253) 761-4200 Fax: (253) 383-3553

Sole Proprietor

Updated

May 13, 2019

Identifiers

Identifiers for GORDON BENJAMIN

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.

See identifiers

Description	Issuer	State	Identifier
OTHER	L&I-DIAGNOSTIC IMAGING NW	WA	0372658
OTHER	L&I-TRA KING COUNTY	WA	0127162
OTHER	L&I-TRA REST OF WA	WA	0335999
OTHER	L&I-UNION AVE OPEN MRI	WA	0186167
MEDICAID		OR	500670859
MEDICAID		WA	1031136

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
2085R0204X - Radiology / Vascular & Interventional Radiology (Primary)	WA	MD00034148
2085R0202X - Radiology / Diagnostic Radiology	WA	MD00034148

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.

Additional Information

Education

MEDICAL COLLEGE OF WISCONSIN - Graduated 1992

Accepts Medicare

This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.

Medicare Ordering & Referring

Provider can:

Refer to Part B
Order Durable Medical Equipment
Refer to Home Health Agency
Order Power Mobility Devices

Affiliations

GORDON BENJAMIN is affiliated with the following medical group(s):

HOSPITAL
- HIGHLINE MEDICAL CENTER
  16251 SYLVESTER ROAD SW
  BURIEN, WA 98166
- ST ANTHONY HOSPITAL
  11567 CANTERWOOD BOULEVARD NW
  GIG HARBOR, WA 98332
- ST CLARE HOSPITAL
  11315 BRIDGEPORT WAY S W
  LAKEWOOD, WA 98499
- ST FRANCIS COMMUNITY HOSPITAL
  34515 9TH AVENUE SOUTH
  FEDERAL WAY, WA 98003
- ST JOSEPH MEDICAL CENTER
  1717 SOUTH J STREET
  TACOMA, WA 98405

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