Provider Demographics
NPI:1942304944
Name:BENSON, MORRIS C (MD)
Entity Type:Individual
Prefix:DR
First Name:MORRIS
Middle Name:C
Last Name:BENSON
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 1:510 N GREEN ST
Mailing Address - Street 2:
Mailing Address - City:VALENTINE
Mailing Address - State:NE
Mailing Address - Zip Code:69201-1932
Mailing Address - Country:US
Mailing Address - Phone:402-376-2525
Mailing Address - Fax:402-376-1627
Practice Address - Street 1:510 N GREEN ST
Practice Address - Street 2:
Practice Address - City:VALENTINE
Practice Address - State:NE
Practice Address - Zip Code:69201-1932
Practice Address - Country:US
Practice Address - Phone:402-376-2525
Practice Address - Fax:402-376-1627
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2013-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE22820208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE04374OtherBCBS OF NEBRASKA
SD7712370Medicaid
NE10025217100Medicaid
SD7712370Medicaid
NE277899Medicare PIN