IndividualActive
Bradley Benson, D.O.
NPI 1619104130 · Physical Medicine & Rehabilitation Physician · Prescott, AZ
Provider details
- NPI number
- 1619104130
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 005884 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1001 Willow Creek Rd Ste 3100
Prescott, AZ 86301-1614
Phone: (928) 445-4818
Fax: (928) 445-4837
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 10880
Prescott, AZ 86304-0880
Registry dates
- Enumerated
- 2009-06-11
- Last updated
- 2025-02-03
- Certified
- 2025-02-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.