Provider Demographics
NPI:1225213564
Name:SERXNER, BENJAMIN JON (MD)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:JON
Last Name:SERXNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2858
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93303-2858
Mailing Address - Country:US
Mailing Address - Phone:661-324-0300
Mailing Address - Fax:661-324-4095
Practice Address - Street 1:3838 SAN DIMAS ST STE A140
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1151
Practice Address - Country:US
Practice Address - Phone:661-632-7126
Practice Address - Fax:661-324-3606
Is Sole Proprietor?:No
Enumeration Date:2008-01-06
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA116775207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery