Provider Demographics
NPI:1447316930
Name:PUMPHREY, BENJAMIN GRIFFITH (MD)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:GRIFFITH
Last Name:PUMPHREY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 S LEWIS ST STE 214
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-4282
Mailing Address - Country:US
Mailing Address - Phone:540-416-9800
Mailing Address - Fax:
Practice Address - Street 1:117 S LEWIS ST STE 214
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-4282
Practice Address - Country:US
Practice Address - Phone:540-416-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012450662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry