Provider Demographics
NPI:1386781664
Name:FAVIS, BENJAMIN (MD)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:FAVIS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8914 US HIGHWAY 431
Mailing Address - Street 2:CAREPLUS FAMILY MEDICAL
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-0157
Mailing Address - Country:US
Mailing Address - Phone:256-279-7200
Mailing Address - Fax:256-279-5757
Practice Address - Street 1:8914 US HIGHWAY 431
Practice Address - Street 2:CAREPLUS FAMILY MEDICAL
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-0157
Practice Address - Country:US
Practice Address - Phone:256-279-7200
Practice Address - Fax:256-279-5757
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.29854208M00000X
ALMD29854207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1669618310Medicaid
AL1669618310Medicaid