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

Benjamin M Grant

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558171900

Benjamin M Grant is a Student in an Organized Health Care Education/Training Program in Travis AFB, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

101 Bodin Cir
Travis AFB, CA 94535-1809
Phone: (918) 207-9961
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1558171900
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 8, 2025
Last updated in NPPESJanuary 8, 2025
Certification dateJanuary 8, 2025
Mailing address6801 Leisure Town Rd Apt 120, Vacaville, CA 95688-9446

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