IndividualActive
Benjamin Fortson, M.D.
NPI 1063945756 · Pediatric Radiology Physician · Cleveland, OH
Provider details
- NPI number
- 1063945756
- Entity type
- Individual
- Primary specialty
- Pediatric Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35.145137 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone: (216) 444-2200
Approximate (ZIP-level) locationGet directions
Mailing address
9500 Euclid Ave
Cleveland, OH 44195-0001
Registry dates
- Enumerated
- 2017-04-10
- Last updated
- 2023-07-13
- Certified
- 2023-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.