IndividualActive
Benedict Profera, DPM, MPH
NPI 1356497622 · Primary Podiatric Medicine Podiatrist · Salem, VA
Provider details
- NPI number
- 1356497622
- Entity type
- Individual
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM, MPH
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0103000566 (VA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1589 Innsbrooke Dr
Salem, VA 24153-1785
Phone: (540) 389-6267
Approximate (ZIP-level) locationGet directions
Mailing address
1589 Innsbrooke Dr
Salem, VA 24153-1785
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.