Individual provider Active NPI

Benjamin James Cottrell, DO

  • Family Medicine Physician
  • Zephyrhills, FL
National Provider Identifier
1043833007
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS20722 Issued in FL
Practice address
7866 Gall Blvd
Zephyrhills, FL 33541-4302
Phone
(813) 492-5732
Fax
(813) 715-7261
NPI assigned
May 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X OS20722 FL Primary

Addresses

Primary practice location

7866 Gall Blvd
Zephyrhills, FL 33541-4302

Mailing address

7866 Gall Blvd
Zephyrhills, FL 33541-4302
Phone (813) 492-5732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240620001582 FL Practitioner - Family Practice 9234551680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Adventhealth Senior Care IncGroup PAC ID 7618397886, 32 clinicians

Practice addresses (Care Compare)

17470 Brookside Trace CT
Tampa, FL 33647-6201
Phone (813) 443-5042

7866 Gall Blvd
Zephyrhills, FL 33541-4302
Phone (813) 492-5732

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Odessa, FL, CCN 108428
  • Empath Home Health Home health agency, Palm Harbor, FL, CCN 107220
  • Adventhealth Home Health Home health agency, Dade City, FL, CCN 108170
  • Pinnacle Home Care Home health agency, Oldsmar, FL, CCN 108290
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • Adventhealth Dade City Hospital, Dade City, FL, CCN 100211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Adventhealth Senior Care Inc Family Medicine CurrentSince Aug 12, 2024 Accepting new patients

Locations

290 Clyde Morris Blvd
Ormond Beach, FL 32174
Phone (386) 615-6642

12400 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 596-9326

7866 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 492-5732

Interoperability endpoints

  • Direct secure messaging: bcottrell127798@adventhealth.direct-ci.com

Organizations & group practices 1

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1043833007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7866 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414302",
            "telephone_number": "813-492-5732",
            "fax_number": "813-715-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7866 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335414302",
            "telephone_number": "813-492-5732",
            "fax_number": "813-715-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "BENJAMIN",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-26",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS20722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.