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

Brent Benso

Individual provider Physician Assistant · NPI 1376965582

Brent Benso is a Physician Assistant in Grand Rapids, Michigan. Graduated from Mercy College in 2013, 13 years ago. Practices with Great Lakes Neurosurgical Associates PC, a 13-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
13
Trained at
Mercy College
Licensed in
MI
In the registry since
2014
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Practice location Address checks out

25 Michigan St NE Ste 6100
Grand Rapids, MI 49503-2515
Phone: (616) 267-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006815 (MI)

Record details

NPI number1376965582
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 8, 2014
Last updated in NPPESJanuary 8, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCY COLLEGE
Graduated 2013 (13 years in practice)
Group practice Great Lakes Neurosurgical Associates Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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