Individual provider Active NPI

Benjamin Stribling Alexander, M.D.

  • Pediatrics Physician
  • Nags Head, NC
National Provider Identifier
1114945987
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0098-00171 Issued in NC
Practice address
4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone
(252) 449-4500
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20140501000416 NC Practitioner - HospitalistPractitioner - Pediatric Medicine 2961635735 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0098-00171NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
FHPG, LLC CurrentSince May 11, 2018 Accepting new patients
Outer Banks Professional Services, LLC CurrentSince Sep 5, 2023 Accepting new patients
FHPG, LLC CurrentSince May 11, 2018 Accepting new patients
FHPG, LLC Current Accepting new patients
University of North Carolina at Chapel Hill Pediatrics Past Accepting new patients

Locations

4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

6408 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6000

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

Interoperability endpoints

  • Direct secure messaging: balexander88227@firsthealth.direct-ci.net

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0098-00171 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

4800 S Croatan Hwy
Nags Head, NC 27959-9704

Mailing address

105 Georgetown Rd
Raleigh, NC 27608-2615

Other practice location 1

155 Memorial Dr
Pinehurst, NC 28374-8710
Phone (910) 715-1000

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
8911553MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 3, 2023.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1114945987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GEORGETOWN RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S CROATAN HWY",
            "city": "NAGS HEAD",
            "state": "NC",
            "postal_code": "279599704",
            "telephone_number": "252-449-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Pinehurst",
            "state": "NC",
            "postal_code": "283748710",
            "country_code": "US",
            "telephone_number": "910-715-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "BENJAMIN",
        "middle_name": "STRIBLING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "0098-00171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911553",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nags Head, NC

Sources for this page

Verify at the official NPI Registry.