Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN DAVID WASHBURN, M.D.
ActiveBENJAMIN DAVID WASHBURN, M.D. is a Sports Medicine (PM&R) healthcare provider located in COLUMBIA, Missouri. NPI 1174979744 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · COLUMBIA, MO
Registration Details
- NPI Number
- 1174979744
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2016 (10.299825091944 yrs)
- Last Updated
- Dec 7, 2021
- Licenses
-
2021031129 (MO)2021031129 (MO)2016018234 (MO)125075445 (IL)
Practice Information
- Address
-
1100 VIRGINIA AVECOLUMBIA, MO, 652120001Browse MO providers · Browse ZIP 65212
- Phone
- 5738822663
- Fax
- 5738841284
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Physical Medicine & Rehabilitation
- Additional Specialty
- Sports Medicine (PM&R)
Other Sports Medicine (PM&R) Providers in COLUMBIA, MO
| Name | Credential | NPI |
|---|---|---|
| BRIAN TOEDEBUSCH | MD | 1588929566 |
| MATTHEW RIDGWAY | MED, ATC, LAT | 1255913059 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.