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

Benjamin Wibonele, MD

Individual provider Otology & Neurotology Physician · NPI 1285255448

Benjamin Wibonele, MD is an Otolaryngology in Puyallup, Washington. Graduated from Morehouse School of Medicine in 2020, 6 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Trained at
Morehouse School of Medicine
Licensed in
WA
In the registry since
2020
Specialties on file
2
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

104 27th Ave SE
Puyallup, WA 98374-1145
Phone: (253) 770-9000
Fax: (253) 770-9712
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence MD61666933 (WA)
Otology & Neurotology Physician Taxonomy 207YX0901X · Licence MD61666933 (WA)

Record details

NPI number1285255448
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 29, 2020
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025
Mailing addressPo Box 1205, Puyallup, WA 98371-0231

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Puyallup