Regina M Benjamin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13314 Issued in AL

Practice address

13833 Tapia Ave
Bayou la Batre, AL 36509-2515

Phone

(251) 824-4985

Fax

(251) 824-4990

NPI assigned

Mar 17, 2006

Last updated

May 29, 2008By the provider in NPPES

Sex

Female

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 3

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

All facility ownership & control disclosures 76

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 77

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Kaiser Foundation Health Plan Inc

  dba Kaiser Foundation Health Plan

  • Health Maintenance Organization
  • Honolulu, HI
  • NPI 1407862030

  Corporate Director

  CMS ownership
• Kaiser Foundation Health Plan of the Northwest

  dba Kaiser Permanente Continuing Care Services Home Health

  • Home Health Agency
  • Portland, OR
  • NPI 1487711412

  Corporate Director

  CMS ownership
• Kaiser Foundation Health Plan of the Northwest

  dba Kaiser Permanente Continuing Care Services Hospice

  • Community Based Hospice Care Agency
  • Portland, OR
  • NPI 1992860993

  Corporate Director

  CMS ownership
• Kaiser Foundation Health Plan, Inc

  dba Kahuku Clinic

  • Rural Health Clinic/Center
  • Kahuku, HI
  • NPI 1245773936

  Corporate Director

  CMS ownership
• Kaiser Foundation Health Plan, Inc

  dba Kihei Clinic

  • Rural Health Clinic/Center
  • Kihei, HI
  • NPI 1770024861

  Corporate Director

  CMS ownership
• Kaiser Foundation Health Plan, Inc

  dba Lahaina Clinic

  • Rural Health Clinic/Center
  • Lahaina, HI
  • NPI 1831630920

  Corporate Director

  CMS ownership
• Kaiser Foundation Health Plan, Inc

  • Home Health Agency
  • Wailuku, HI
  • NPI 1962552091

  Corporate Director

  CMS ownership
• Kaiser Foundation Health Plan, Inc.

  dba Kaiser Permanente Care at Home, Big Island Home Health

  • Home Health Agency
  • Kailua Kona, HI
  • NPI 1164102687

  Corporate Director

  CMS ownership
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital San Diego

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1013062769

  Corporate Director

  CMS ownership
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Hospice Program

  • Community Based Hospice Care Agency
  • West Covina, CA
  • NPI 1053466953

  Corporate Director

  CMS ownership
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Inland Empire Hospice

  • Community Based Hospice Care Agency
  • Fontana, CA
  • NPI 1053466961

  Corporate Director

  CMS ownership
• Kaiser Foundation Hospitals

  dba Kaiser Foundation Hospital Hospice - Martinez

  • Community Based Hospice Care Agency
  • Martinez, CA
  • NPI 1053487793

  Corporate Director

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maui Health System a Kaiser Foundation Hospitals LLC

  • Specialist
  • Wailuku, HI
  • NPI 1669834016
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1033188339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13833 TAPIA AVE",
            "city": "BAYOU LA BATRE",
            "state": "AL",
            "postal_code": "365092515",
            "telephone_number": "251-824-4985",
            "fax_number": "251-824-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13833 TAPIA AVE",
            "city": "BAYOU LA BATRE",
            "state": "AL",
            "postal_code": "365092515",
            "telephone_number": "251-824-4985",
            "fax_number": "251-824-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "REGINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "13314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541384501",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81721",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912056",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alabama CVS Pharmacy, L.L.C. (CVS Pharmacy #06017)
• Altapointe Health Systems, Inc (Accordia Health)
• Anchor Medical Equipment and Supplies, LLC
• Bayou la Batre Area Health Development BD.Inc. (Mostellar Dental Center)
• Bayouclinic, Inc. (Bayou La Batre Rural Health Clinic)
• Raymond NMN Broughton, MD
• Lacey Davis
• Encore Rehabilitation, Inc. (Encore Rehab of Bayou La Batre)
• Karen J Faulk, MSW, LICSW
• Franklin Primary Health Center, Inc (South Mobile Family Dental Center)

• Family Medicine Physician in Bayou la Batre, AL
• Providers in Bayou la Batre, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.