Provider Demographics
NPI:1801232269
Name:AIKEN, BENJAMIN ABERNATHY (MD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:ABERNATHY
Last Name:AIKEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 HENDERSONVILLE RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2868
Mailing Address - Country:US
Mailing Address - Phone:828-771-3403
Mailing Address - Fax:828-407-2675
Practice Address - Street 1:2313 US HIGHWAY 70
Practice Address - Street 2:
Practice Address - City:SWANNANOA
Practice Address - State:NC
Practice Address - Zip Code:28778-8207
Practice Address - Country:US
Practice Address - Phone:828-407-2400
Practice Address - Fax:828-407-2870
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-02263207Q00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCT164A194Medicare PIN
NCNCT164DMedicare PIN
NCNCT164EMedicare PIN
NCNCT164AMedicare PIN
NCNCT164BMedicare PIN
NCNCT164CMedicare PIN