Provider Demographics
NPI:1104884964
Name:BENFIELD, RONALD WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:WILLIAM
Last Name:BENFIELD
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 1:200 HOSPITAL AVE
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:NC
Mailing Address - Zip Code:28640-9244
Mailing Address - Country:US
Mailing Address - Phone:368-467-1013
Mailing Address - Fax:336-846-0756
Practice Address - Street 1:200 HOSPITAL AVE
Practice Address - Street 2:
Practice Address - City:JEFFERSON
Practice Address - State:NC
Practice Address - Zip Code:28640
Practice Address - Country:US
Practice Address - Phone:336-846-7101
Practice Address - Fax:336-846-0756
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2018-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101256466207X00000X
SC39118207X00000X
NC30285207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
1549366005OtherCIGNA
NC1790873586OtherNPI GROUP
5062OtherPARTNERS/MEDICARE
C82783Medicare UPIN
NC204738AMedicare PIN
NC248012OtherOPTIMUM CHOICE
2578500000OtherQUALCHOICE
NY02393295OtherCOMPUTER SCIENCES OF NY
56484OtherMEDCOST
NC200016562OtherRAILROAD MEDICARE
289425OtherMAMSI
0960523OtherPHP
14904OtherBC
NC2481OtherPARTNERS MEDICARE
563721OtherAETNA