Active NPI
Benjamin O. Burt, MD
- Ophthalmology Physician
- El Paso, TX
National Provider Identifier
1205079969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 42584
- Practice address
- 4800 Alberta Ave
El Paso, TX 79905-2709 - Phone
- (915) 783-8100
- Fax
- (915) 783-8187
- NPI assigned
- Apr 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 42584 | TX | Primary |
Addresses
Primary practice location
4800 Alberta Ave
El Paso, TX 79905-2709
Mailing address
4800 Alberta Ave
El Paso, TX 79905-2709
Phone (915) 783-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42584 | TX | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239321600000",
"number": "1205079969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 ALBERTA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052709",
"telephone_number": "915-783-8100",
"fax_number": "915-783-8187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 ALBERTA AVE",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052709",
"telephone_number": "915-783-8100",
"fax_number": "915-783-8187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURT",
"first_name": "BENJAMIN",
"middle_name": "O.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-10",
"last_updated": "2009-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "42584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.