Provider Demographics
NPI:1902069537
Name:TRAN, BENSON DREW (MD)
Entity Type:Individual
Prefix:DR
First Name:BENSON
Middle Name:DREW
Last Name:TRAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:619 SOUTH 19TH STREET - JT 3N
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-6830
Mailing Address - Country:US
Mailing Address - Phone:281-857-7477
Mailing Address - Fax:205-975-9262
Practice Address - Street 1:619 SOUTH 19TH STREET - JT 3N
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-6830
Practice Address - Country:US
Practice Address - Phone:281-857-7477
Practice Address - Fax:205-975-9262
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2019-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP01442085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology