Individual provider Active NPI

Benjamin Paul Landry, CRNA

  • Certified Registered Nurse Anesthetist
  • Lackland a F B, TX
National Provider Identifier
1174532824
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP116018 Issued in TX
Practice address
2200 Bergquist Dr Ste 1
Attn: Credentials (CMC)
Lackland a F B, TX 78236-9908
Phone
(210) 292-5545
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP116018 TX Primary

Addresses

Primary practice location

2200 Bergquist Dr Ste 1
Attn: Credentials (CMC)
Lackland a F B, TX 78236-9908

Mailing address

2490 S Bramlet Dr
Conroe, TX 77304-2172
Phone (210) 265-9526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080714000247 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901979699 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians

Practice addresses (Care Compare)

3201 University Dr E
420 Cardiac Cath Lab of Bryan College S
Bryan, TX 77802-3479
Phone (979) 485-9922

Hospital & facility affiliations

  • Huntsville Memorial Hospital Hospital, Huntsville, TX, CCN 450347

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as apm
Quality
69.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP116018TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 16, 2010 Accepting new patients
Val Verde Hospital Corporation Nurse Anesthetist, Certified Registered CurrentSince Jun 17, 2019 Accepting new patients
Conroe Ambulatory Anesthesia PA CurrentSince Feb 21, 2019 Accepting new patients
Huntsville Community Hospital, Inc. CurrentSince Oct 29, 2022 Accepting new patients
Val Verde Hospital Corporation CurrentSince Jun 17, 2019 Accepting new patients
Cowboy Anesthesia Services PLLC CurrentSince Nov 4, 2024 Accepting new patients
Cap Medical Group PLLC Past Accepting new patients
Cap Medical, LLC Past Accepting new patients
Star Anesthesia, PA. Past Accepting new patients

Locations (25 of 27)

44 N Cummings St
Bellville, TX 77418
Phone (979) 413-7400

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

3131 University Dr E
Bryan, TX 77802
Phone (979) 680-1888

3811 Sagebriar Dr
Bryan, TX 77802
Phone (979) 774-0498

3201 University Dr E
Ste 420
Bryan, TX 77802
Phone (979) 485-9922

4019 I 45 N
#150
Conroe, TX 77304
Phone (936) 641-8181

4019 I 45 N
#150N
Conroe, TX 77304
Phone (936) 641-8181

1020 Riverwood Ct
#200N
Conroe, TX 77304
Phone (936) 703-5086

1020 Riverwood Ct
Ste 200
Conroe, TX 77304
Phone (936) 703-5086

1020 Riverwood Ct
Ste 110
Conroe, TX 77304

1100 E Loop 304
Crockett, TX 75835
Phone (936) 546-3862

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

110 Memorial Hospital Dr
Huntsville, TX 77340
Phone (936) 291-4276

133 Medical Park Ln
Ste B
Huntsville, TX 77340
Phone (936) 730-8833

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

501 E Kolstad St
Palestine, TX 75801
Phone (903) 723-3250

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

7909 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 437-0884

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

5404 Summerhill Rd
Texarkana, TX 75503
Phone (903) 792-3773

9303 Pinecroft Dr
Ste 320
The Woodlands, TX 77380
Phone (281) 290-9800

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

10141 US 59 Hwy
Wharton, TX 77488
Phone (281) 491-6808

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23958/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1174532824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 S BRAMLET DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042172",
            "telephone_number": "210-265-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BERGQUIST DR STE 1",
            "address_2": "ATTN: CREDENTIALS (CMC)",
            "city": "LACKLAND A F B",
            "state": "TX",
            "postal_code": "782369908",
            "telephone_number": "210-292-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "BENJAMIN",
        "middle_name": "PAUL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP116018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lackland a F B, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.