IndividualActive
Charles Benner, PA
NPI 1639109937 · Surgical Physician Assistant · Baltimore, MD
Provider details
- NPI number
- 1639109937
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- C0001505 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
301 Saint Paul Pl
Surgical Pa'S
Baltimore, MD 21202-2102
Phone: (410) 332-9265
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 64075
Baltimore, MD 21264-4075
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.