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

Ethan Michael Benning, MD

Individual provider Surgery Physician · NPI 1104168582

Ethan Michael Benning, MD is a General Surgery in Rio Rancho, New Mexico. Qualified in 2013, 13 years ago. Practices with Unm Medical Group Inc, a 1,060-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in New Mexico and West Virginia.

Years since qualifying
13
Licensed in
NM, WV
In the registry since
2013
Specialties on file
3
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

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144
Phone: (505) 994-7000
Show map & directions

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

Additional practice locations (3)

  • 2040 W Charleston Blvd Ste 302, Las Vegas, NV 89102-2230 — (702) 671-2273
  • 1100 Fort Pierpont Dr Ste 101, Morgantown, WV 26508-1329 — (304) 241-1100
  • 1100 Fort Pierpont Dr Ste 101, Morgantown, WV 26508-1329 — (304) 241-1100

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MD2019-0664 (NM)
Surgery Physician Taxonomy 208600000X · Licence 27993 (WV)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104168582
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 22, 2013
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing address800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Unm Medical Group Inc — 1060 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rio Rancho