Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin David Washburn, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174979744

Benjamin David Washburn, MD is a Sports Medicine in Columbia, Missouri. Graduated from Saint Louis University School of Medicine in 2016, 10 years ago. Practices with The Curators of the University of Missouri, a 1,093-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
10
Trained at
Saint Louis University School of Medicine
Licensed in
IL, MO
In the registry since
2016
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1100 Virginia Ave
Columbia, MO 65212-0001
Phone: (573) 882-2663
Fax: (573) 884-1284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 2021031129 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 2021031129 (MO)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 2016018234 (MO)
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X · Licence 125075445 (IL)

Record details

NPI number1174979744
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2016
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021
Mailing addressPo Box 843966, Kansas City, MO 64184-3966

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesPHYSICAL MEDICINE AND REHABILITATION
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice The Curators Of The University Of Missouri — 1093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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