Provider Demographics
NPI:1164836185
Name:MORRIS, BENJAMIN B (DO)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:B
Last Name:MORRIS
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:STRAUB BENIOFF MILILANI CLINIC
Mailing Address - Street 2:95-1249 MEHEULA PARKWAY, BUILDING M
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789
Mailing Address - Country:US
Mailing Address - Phone:808-625-6444
Mailing Address - Fax:808-623-2552
Practice Address - Street 1:STRAUB BENIOFF MILILANI CLINIC
Practice Address - Street 2:95-1249 MEHEULA PARKWAY, BUILDING M
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789
Practice Address - Country:US
Practice Address - Phone:808-625-6444
Practice Address - Fax:808-623-2552
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIDOS-27192083A0100X, 207R00000X
390200000X
NE1351207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS1164836185OtherNPI
1164836185OtherNPI