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

Benjamin Merrill Perry, DO

Individual provider Dermatology Physician · NPI 1710325758

Benjamin Merrill Perry, DO is a Dermatology in Meridian, Idaho. Qualified in 2013, 13 years ago. Practices with Mountain Pine Dermatology PLLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Oregon.

Years since qualifying
13
Licensed in
ID, OR
In the registry since
2013
Specialties on file
4
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4664 N Penngrove Way Ste 100
Meridian, ID 83646-7442
Phone: (208) 898-7467
Fax: (208) 398-2120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1793 13th St Se, Salem, OR 97302 — (503) 362-8385

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence O1145 (ID)
Dermatology Physician Taxonomy 207N00000X · Licence DO168846 (OR)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence O1145 (ID)
General Practice Physician Taxonomy 208D00000X · Licence PG163364 (OR)

Record details

NPI number1710325758
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 12, 2013
Last updated in NPPESOctober 1, 2020
Certification dateOctober 1, 2020
Mailing address4664 N Penngrove Way Ste 100, Meridian, ID 83646-7442

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mountain Pine Dermatology Pllc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Meridian