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

Mr. Benjamin Dale Fortson, MPO, CPO

Individual provider Orthotist · NPI 1497296537

Mr. Benjamin Dale Fortson, MPO, CPO is an Orthotist in Rockville, Maryland. Works from 2 locations. Licensed in Delaware.

Licensed in
DE
In the registry since
2017
Specialties on file
2

Practice location Address checks out

15200 Shady Grove Rd Ste 102
Rockville, MD 20850-3218
Phone: (240) 261-4229
Fax: (240) 261-4489
Show map & directions

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

Additional practice locations (1)

  • 73 Thomas Johnson Dr Ste B, Frederick, MD 21702-4426 — (301) 698-4692

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence CPO04027 (DE)
Orthotist Taxonomy 222Z00000X · Licence CO005694 (DE)

Record details

NPI number1497296537
Entity typeIndividual (Type 1)
GenderMale
Credentials MPO , CPO
Sole proprietorNo
NPI enumeratedMarch 8, 2017
Last updated in NPPESApril 24, 2018

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