Benjamin Clay Caldwell, C-FNP

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

636969 Issued in TX

Practice address

2418 W Main St
Gun Barrel City, TX 75156-3638

Phone

(903) 173-2000

Fax

(903) 713-2004

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1194809657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2418 W MAIN STREET",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "75156",
            "telephone_number": "903-173-2000",
            "fax_number": "903-713-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 W MAIN ST",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751563638",
            "telephone_number": "903-173-2000",
            "fax_number": "903-713-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "BENJAMIN",
        "middle_name": "CLAY",
        "credential": "C-FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "636969",
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "636969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Edward Bowman, FNP
• Sylvia Brown-Cates, NP
• Susan Sims Brown, M.S., CCC/SLP
• Budget Smiles PLLC
• Jaime James Caceres, NP-C
• Cardiorespiratory Home Systems Inc
• Natalie Carter
• David Brian Casady, RPH
• Donald Wayne Caswell
• Crystal Cavazos, RN

• All providers in Gun Barrel City, TX
• Family Health Clinical Nurse Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.