IndividualActive
Benjamin Wiseman, MD
NPI 1649289794 · Pain Medicine (Anesthesiology) Physician · Tupelo, MS
Provider details
- NPI number
- 1649289794
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 18380 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
830 S Gloster St
Tupelo, MS 38801
Phone: (662) 377-4394
Fax: (662) 377-7045
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3294
Tupelo, MS 38803
Registry dates
- Enumerated
- 2006-08-07
- 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.