Benjamin Gregory Crisp, MD
Benjamin Gregory Crisp is a Surgery Physician provider (Surgery) practicing in Raleigh, NC, registered in the NPPES registry with NPI 1790216505 since 2017. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1790216505 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Benjamin Gregory Crisp |
| Credential | MD |
| Sex | Male |
| Practice address | 4207 LAKE BOONE TRL STE 210, Raleigh, NC, 27607 |
| Phone | 9197847874 |
| Fax | 9197842708 |
| Enumeration date | 2017-03-23 |
| Last updated in NPPES | 2023-09-26 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Secondary | 332669 | LA |
| 208600000X | Surgery Physician | Primary | 2023-02063 | NC |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Benjamin Crisp, MD NPI: 1790216505 Taxonomy: 208600000X (Surgery Physician) Address: 4207 LAKE BOONE TRL STE 210, Raleigh, NC, 27607
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1003062050 | Basil Yurcisin | Individual | Surgery Physician | Raleigh, NC |
| 1467880625 | Afton Carducci | Individual | Physician Assistant | Raleigh, NC |
| 1790211787 | Hannah Garehan | Individual | Physician Assistant | Raleigh, NC |
| 1639687403 | Amanda Hopkins | Individual | Registered Dietitian | Raleigh, NC |
| 1164903324 | Lauren Boulus | Individual | Registered Dietitian | Raleigh, NC |
| 1538799572 | Abigail Wrobleski | Individual | Physician Assistant | Raleigh, NC |
| 1265315741 | Suzanna Gracyk | Individual | Registered Dietitian | Raleigh, NC |
| 1649158569 | Maggie Darden | Individual | Registered Dietitian | Raleigh, NC |
Verify this record
Cross-check NPI 1790216505 against the authoritative CMS record: view Benjamin Gregory Crisp on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-09-26.