Provider Demographics
NPI:1104276740
Name:BENJAMIN SERXNER M.D., INC.
Entity type:Organization
Organization Name:BENJAMIN SERXNER M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/NEUROSURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:JON
Authorized Official - Last Name:SERXNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-858-8284
Mailing Address - Street 1:12404 LOCKSLEY DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-8513
Mailing Address - Country:US
Mailing Address - Phone:661-858-8284
Mailing Address - Fax:
Practice Address - Street 1:3008 SILLECT AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-6340
Practice Address - Country:US
Practice Address - Phone:661-858-8284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA116775207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty