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

Edward Benjamin Penn Jr., MD

Individual provider Pediatric Otolaryngology Physician · NPI 1053474163

Edward Benjamin Penn Jr., MD is an Otolaryngology in Greenville, South Carolina. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2006, 20 years ago. Practices with Prisma Health University Medical Group, a 2,446-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
20
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
SC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

200 Patewood Dr Ste B400
Greenville, SC 29615-6306
Phone: (864) 522-8603
Show map & directions

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

Additional practice locations (1)

  • 105 Carter Park Dr Ste B, Seneca, SC 29678-1152 — (864) 482-3122

Specialties & licences

Pediatric Otolaryngology Physician (primary) Taxonomy 207YP0228X · Licence 51723 (SC)

Record details

NPI number1053474163
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 19, 2006
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2006 (20 years in practice)
Group practice Prisma Health University Medical Group — 2446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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