Brian Benson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

326864 Issued in LA

Practice address

1108 Port Arthur Ter
Leesville, LA 71446-4600

Phone

(337) 239-1061

NPI assigned

Apr 19, 2017

Last updated

Jul 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, LA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Louisiana Health Services IncGroup PAC ID 5799680245, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beauregard Home Health Home health agency, Deridder, LA, CCN 197183
• Beauregard Memorial Hospital Hospital, Deridder, LA, CCN 190050

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brian.benson@beauregard.medalliesdirect.net

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.

• West Louisiana Health Services Inc

  dba Beauregard Health System

  • Obstetrics & Gynecology Physician
  • Deridder, LA
  • NPI 1164985495
  Medicare reassignment Care Compare group NPD
• Beauregard Surgery Center, LLC

  dba David J. Brown, M.D.

  • Surgery Physician
  • Deridder, LA
  • NPI 1083043806
  Medicare reassignment NPD
• Ankle & Foot Associates, LLC

  • Foot & Ankle Surgery Podiatrist
  • Waycross, GA
  • NPI 1356492599
  Medicare reassignment NPD
• Hospital Service District No 2 of Parish of Beauregard State of la

  dba Beauregard Memorial Hospital

  • Rural Acute Care Hospital
  • Deridder, LA
  • NPI 1831193499
  NPD
• Ankle and Foot Associates, LLC

  • Foot & Ankle Surgery Podiatrist
  • Orange Park, FL
  • NPI 1619444965
  NPD
• Beauregard Memorial Hospital Medical Staff Services

  • Multi-Specialty Clinic/Center
  • Deridder, LA
  • NPI 1801087184
  NPD (past)
• David J. Brown, M.D. Apmc

  dba DeRidder Sugical Clinic

  • Specialist
  • Deridder, LA
  • NPI 1225297658
  NPD (past)

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

• Beauregard Memorial Hospital Homecare, LLC

  dba Beauregard Home Health

  • Home Health Agency
  • Deridder, LA
  • NPI 1225288566
  Care Compare affiliation
• Hospital Service District No 2 of Parish of Beauregard State of la

  dba Beauregard Memorial Hospital

  • Rural Acute Care Hospital
  • Deridder, LA
  • NPI 1831193499
  Care Compare affiliation

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1104350883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706340730",
            "telephone_number": "337-239-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1108 PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464600",
            "telephone_number": "337-239-1061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W Oneida St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315015337",
            "country_code": "US",
            "telephone_number": "912-283-6471",
            "fax_number": "912-283-3590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Deridder",
            "state": "LA",
            "postal_code": "706344902",
            "country_code": "US",
            "telephone_number": "337-463-8556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENSON",
        "first_name": "BRIAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-19",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "326824",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001453",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "326864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003232377A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raven Leigh Bayle
• Lauren Elizabeth Beeson, M.S., CCC-SLP
• Mirza Ashhab Beg, M.D
• Nicole Benjamin
• Sherri Earlene Bennett, APRN
• Kenzie Elizabeth Bernard
• Nina Bezpalko
• Mary Catherine Bienvenu, LPC
• Amie Blackburn, LCSW
• Jenifer Blackmore

• Foot & Ankle Surgery Podiatrist in Leesville, LA
• Providers in Leesville, LA by specialty
• Foot & Ankle Surgery Podiatrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.