Individual provider Active NPI

Benjamin Lucas Harper, MD

  • Emergency Medicine Physician
  • Kerrville, TX
National Provider Identifier
1093763906
Registry record updated Aug 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
K7758 Issued in TX
Practice address
130 W Main St
Kerrville, TX 78028-5270
Phone
(830) 258-7769
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X K7758 TX Primary

Addresses

Primary practice location

130 W Main St
Kerrville, TX 78028-5270

Mailing address

575 Hill Country Dr Ste 101
Kerrville, TX 78028-6024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100427000187 TX Practitioner - Emergency MedicinePractitioner - Family Practice 5092842823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peterson Urgent Care LLCGroup PAC ID 4880079011, 8 clinicians
Peterson Medical AssociatesGroup PAC ID 1355467887, 192 clinicians

Practice addresses (Care Compare)

130 W Main St
Kerrville, TX 78028-5270
Phone (830) 258-7669

575 Hill Country Dr
Suite 101
Kerrville, TX 78028-6024
Phone (830) 258-7090

Hospital & facility affiliations

  • Peterson Regional Medical Center Hospital, Kerrville, TX, CCN 450007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue23
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peterson Urgent Care LLC CurrentSince Oct 1, 2022 Accepting new patients
Peterson Medical Associates CurrentSince May 1, 2021 Accepting new patients

Locations

575 Hill Country Dr
Ste 202
Kerrville, TX 78028
Phone (830) 258-6237

260 Cully Dr
Kerrville, TX 78028
Phone (830) 258-7323

551 Hill Country Dr
Kerrville, TX 78028
Phone (830) 257-5414

575 Hill Country Dr
Ste 101
Kerrville, TX 78028
Phone (830) 258-7090

130 W Main St
Kerrville, TX 78028
Phone (830) 258-7669

Interoperability endpoints

  • Direct secure messaging: benjamin.harper.1@21041.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21041/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1093763906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 HILL COUNTRY DR STE 101",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 W MAIN ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285270",
            "telephone_number": "830-258-7769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "BENJAMIN",
        "middle_name": "LUCAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "K7758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

Verify at the official NPI Registry.