Provider Demographics
NPI:1326841982
Name:BIENVENUE, BENJAMIN THOMAS (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:THOMAS
Last Name:BIENVENUE
Suffix:
Gender:
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 AVENUE F
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-3634
Mailing Address - Country:US
Mailing Address - Phone:985-730-6970
Mailing Address - Fax:
Practice Address - Street 1:420 AVENUE F
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-3634
Practice Address - Country:US
Practice Address - Phone:985-730-6970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program