SearchIndianaSurgical Physician Assistant

Benjamin Haberly

NPI 1679176200 · on the registry since 2020

Practice

Address
53880 Carmichael Dr
South Bend, IN 46635
Phone
(574) 247-9441
Organisation at this address
Northern Brace Company Inc
Central Indiana Orthopedics, Llc
Ascendant Orthopedic Alliance, Llc
Ascendant Orthopedic Alliance, Llc
South Bend Orthopaedic Associates, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
92

Additional practice sites

  • 60160 Bodnar Blvd, Mishawaka, IN
  • 2349 Lake Ave Ste 201, Plymouth, IN
  • 303 S Nappanee St Ste F, Elkhart, IN

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Also registered as
Physician Assistant
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana