Basic Information
Provider Information
NPI: 1437506193
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VERZI
FirstName: BENJAMIN
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: VERZI
OtherFirstName: BEN
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 5
Mailing Information
Address1: PO BOX 440426
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372440426
CountryCode: US
TelephoneNumber: 8656706199
FaxNumber: 8656706198
Practice Location
Address1: 1924 ALCOA HWY
Address2:  
City: KNOXVILLE
State: TN
PostalCode: 379201511
CountryCode: US
TelephoneNumber: 4233357042
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/23/2016
LastUpdateDate: 01/16/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/16/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X60232TNY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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