Donald F Benton, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22392 Issued in CO

Practice address

121 S. Crescent Drive
Suite B
Pueblo West, CO 81007-5433

Phone

(719) 595-7575

Fax

(719) 547-8368

NPI assigned

Dec 4, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1023290707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S. CRESCENT DRIVE",
            "address_2": "SUITE B",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075433",
            "telephone_number": "719-595-7575",
            "fax_number": "719-547-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S. CRESCENT DRIVE",
            "address_2": "SUITE B",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075433",
            "telephone_number": "719-595-7575",
            "fax_number": "719-547-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTON",
        "first_name": "DONALD",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-04",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "22392",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01223924",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Elton Bell, RN
• Heather Marie Benfatti, PMHNP
• Bennett Medical Services
• Dana Ransom Bennett, M.D.
• Abigail Bensko, LPC
• John Robert Berentz Jr., LCSW
• Lawrence Scott Bethel, RPH
• Shannon Belle Bethel, RPH
• Heather Jeanne Bever, MA, CCC-SLP
• Mark Blaskovich, D.M.D.

• Family Medicine Physician in Pueblo West, CO
• Providers in Pueblo West, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.