Provider Demographics
NPI:1144333014
Name:BENOIST, JAMES L (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:BENOIST
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 1:7447 E BERRY AVENUE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2146
Mailing Address - Country:US
Mailing Address - Phone:303-689-2300
Mailing Address - Fax:303-689-2301
Practice Address - Street 1:7447 E BERRY AVENUE
Practice Address - Street 2:SUITE 150
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2146
Practice Address - Country:US
Practice Address - Phone:303-689-2300
Practice Address - Fax:303-689-2301
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO30484207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01304849Medicaid
COHI665674OtherBLUE CROSS BLUE SHIELD
CO514588Medicare ID - Type Unspecified
COHI665674OtherBLUE CROSS BLUE SHIELD