Provider Demographics
NPI:1205053733
Name:EYER, BENJAMIN ADAM (MD)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:ADAM
Last Name:EYER
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 1:115 N WETHERLY DR APT 101
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-2811
Mailing Address - Country:US
Mailing Address - Phone:310-923-6255
Mailing Address - Fax:
Practice Address - Street 1:8 CADILLAC DR STE 200
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5316
Practice Address - Country:US
Practice Address - Phone:615-376-7370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA950462085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology