NPI 1619938867 · live from the CMS NPI Registry
Eugene Elliot Benjamin, M.D.
Psychiatry & Neurology, Neurology in Bristol, TN. National Provider Identifier 1619938867, active.
NPI record
| NPI | 1619938867 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 1 Medical Park Blvd, Bristol, TN 37620 |
| Practice phone | 423-844-1121 |
| Mailing address | 1021 W Oakland Ave Ste 310, Johnson City, TN 37604 |
| Enumerated | March 29, 2006 |
| Last updated | January 6, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospitalist | 208M00000X | 75482 (TN) |
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 28842 (NC) |
| Psychiatry & Neurology, Neurology | 2084N0400X | D78821 (MD) |
| Psychiatry & Neurology, Neurology | 2084N0400X | 75482 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.