Queen City Urology

Primary specialty

SpecialistTaxonomy code 174400000X

License

016565 Issued in LA

Legal business name

QUEEN CITY UROLOGY

Practice address

500 N Lewis St
Suite 270
New Iberia, LA 70563-2046

Phone

(337) 352-2210

NPI assigned

Apr 28, 2016

Last updated

Apr 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Calmon Benson, MD

Title

Owner

Phone

(337) 352-2210

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1134574056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N LEWIS ST",
            "address_2": "SUITE 270",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632046",
            "telephone_number": "337-352-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N LEWIS ST",
            "address_2": "SUITE 270",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632046",
            "telephone_number": "337-352-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY UROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CALMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-352-2210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "016565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.