Individual provider Active NPI

Donald A Behnke, M.D.

  • Internal Medicine Physician
  • Sun City Center, FL
National Provider Identifier
1104884980
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0038672 Issued in FL
Practice address
1901 Haverford Ave
Suite 101
Sun City Center, FL 33573-5200
Phone
(813) 634-9284
Fax
(813) 634-4595
NPI assigned
May 2, 2006
Last updated
Oct 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0038672 FL Primary

Addresses

Primary practice location

1901 Haverford Ave
Suite 101
Sun City Center, FL 33573-5200

Mailing address

1901 Haverford Ave
Ste 101
Sun City Center, FL 33573-5200
Phone (813) 634-9284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0038672FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ante Rudez MD PA Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1104884980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HAVERFORD AVE",
            "address_2": "STE 101",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735200",
            "telephone_number": "813-634-9284",
            "fax_number": "813-634-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HAVERFORD AVE",
            "address_2": "SUITE 101",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335735200",
            "telephone_number": "813-634-9284",
            "fax_number": "813-634-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHNKE",
        "first_name": "DONALD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0038672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.