Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Benjamin Wells Jaderholm, D.O.

Family Medicine Physician in Liberty Lake, WA · enumerated 2014.

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

National Provider Identifier

1093128027

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Registry record

Entity type Individual (Type 1)

Name Dr. Benjamin Wells Jaderholm

Credential D.O.

Sex Male

Practice address 1326 N Stanford Ln, Liberty Lake, WA, 99019

Phone (509) 838-2531

Fax (509) 755-6580

Enumeration date Jun 6, 2014

Last updated in NPPES Apr 27, 2018

Taxonomy & licenses

390200000X Student in an Organized Health Care Education/Training Program Student, Health Care · License 58.007627 (OH) Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License OP60804314 (WA) Primary

DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD. About the DO credential

Other identifiers

Identifier	Type	State	Issuer
0159060	Medicaid	OH	-

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.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Benjamin Jaderholm practice?

The practice location on file with NPPES is in Liberty Lake, WA. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Benjamin Jaderholm?

The National Provider Identifier (NPI) for Benjamin Jaderholm is 1093128027, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-04-27.