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Fred A Benjamin IV, CRNA

Registered Nurse in Jackson, TN · enumerated 2005 · practices at Sec Consulting Firm, Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063404036

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Registry record

Entity type Individual (Type 1)
Name Fred A Benjamin IV
Credential CRNA
Sex Male
Practice address 36 Brentshire Sq, Jackson, TN, 38305
Phone (731) 664-1717
Fax (731) 664-7114
Enumeration date Aug 16, 2005
Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

163W00000X Registered Nurse Nursing Service Providers · License RN0000085124 (TN) Primary
CRNA · Certified Registered Nurse Anesthetist: An advanced practice nurse specializing in anesthesia care. About the CRNA credential

Other identifiers

Identifier Type State Issuer
3622768 Medicaid TN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Fred Benjamin IV?
The National Provider Identifier (NPI) for Fred Benjamin IV is 1063404036, a Type 1 (individual) record in the CMS NPPES registry.
Where does Fred Benjamin IV practice?
The practice location on file with NPPES is in Jackson, TN. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.