NPIMap

Organization Active NPI

Benton Franklin Orthopedic Associates, PLLC

  • Orthopaedic Surgery Physician
  • Kennewick, WA
National Provider Identifier
1114965704
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
BENTON FRANKLIN ORTHOPEDIC ASSOCIATES, PLLC
Practice address
8200 W Gage Blvd
Kennewick, WA 99336-8113
Phone
(509) 586-2828
Fax
(509) 586-2525
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Authorized official

Name
Michael Neitzel
Title
Administrator
Phone
(509) 586-2828

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

8200 W Gage Blvd
Kennewick, WA 99336-8113

Mailing address

8200 W Gage Blvd
Kennewick, WA 99336-8113
Phone (509) 586-2828

Other identifiers 2

IdentifierTypeStateIssuer
147217OtherWALABOR & INDUSTRIES
7106636MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040716000227 WA Part B Supplier - Clinic/Group Practice 3870572589 Receives reassigned benefits from 18 practitioners
Practice locations: Kennewick, WA
O20151228000826 WA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3870572589 Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Locations

911 S Washington St
Ste B
Kennewick, WA 99336
Phone (509) 547-7704

15 W 10th Ave
Kennewick, WA 99336
Phone (509) 582-6335

3730 Plaza Way
Ste 6400
Kennewick, WA 99338
Phone (509) 586-2828

8200 W Gage Blvd
Kennewick, WA 99336
Phone (509) 586-2828

521 N Young St
Ste 100
Kennewick, WA 99336
Phone (509) 586-2828

711 S Auburn St
Kennewick, WA 99336
Phone (509) 586-2828

9915 Sandifur Pkwy
#B
Pasco, WA 99301
Phone (509) 586-2828

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708992000000",
    "number": "1114965704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 W GAGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368113",
            "telephone_number": "509-586-2828",
            "fax_number": "509-586-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 W GAGE BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368113",
            "telephone_number": "509-586-2828",
            "fax_number": "509-586-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENTON FRANKLIN ORTHOPEDIC ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "NEITZEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "509-586-2828"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "147217",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7106636",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.