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

Mr. Benjamin Williams Diffenderfer, PA-C

Individual provider Physician Assistant · NPI 1679857239

Mr. Benjamin Williams Diffenderfer, PA-C is a Physician Assistant in Bel Air, Maryland. Qualified in 2011, 15 years ago. Practices with Agape Physical Therapy and Sports Rehabilitation LP, a 677-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Maryland.

Years since qualifying
15
Licensed in
MD
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

510 Uppr Chesapeake DR Ste 417 Physicians Pavillion II
Bel Air, MD 21014
Phone: (443) 643-3130
Fax: (443) 643-3155
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0004567 (MD)

Record details

NPI number1679857239
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 30, 2011
Last updated in NPPESSeptember 30, 2011
Mailing address510 Upper Chesapeake Dr., Suite 417, Physicians Pavillion Ii, Bel Air, MD 21014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Agape Physical Therapy And Sports Rehabilitation Lp — 677 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Bel Air