Individual provider Active NPI

Benjamin Cameron, DO

  • Internal Medicine Physician
  • Longview, TX
National Provider Identifier
1205248424
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R1931 Issued in TX
Practice address
505 N 6TH St
Longview, TX 75601-6604
Phone
(903) 501-5056
Fax
(903) 499-5056
NPI assigned
May 22, 2014
Last updated
Dec 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10050116 TX
Internal Medicine Physician 207R00000X R1931 TX Primary

Addresses

Primary practice location

505 N 6TH St
Longview, TX 75601-6604

Mailing address

505 N 6TH St
Longview, TX 75601-6604
Phone (903) 501-5056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170519000936 TX Practitioner - Internal Medicine 5395044515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

505 N 6TH St
Longview, TX 75601-6604
Phone (903) 501-5056

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
BP10050116TXMDInternal Medicine Physician
R1931TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cameron Clinic PLLC Internal Medicine CurrentSince Jan 3, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3204 4th St
Longview, TX 75605
Phone (903) 236-4111

505 N 6th St
Longview, TX 75601
Phone (903) 392-2307

Interoperability endpoints

  • Direct secure messaging: benjamin.cameron.1@25502.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25502/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1205248424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016604",
            "telephone_number": "903-501-5056",
            "fax_number": "903-499-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016604",
            "telephone_number": "903-501-5056",
            "fax_number": "903-499-5056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMERON",
        "first_name": "BENJAMIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-22",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10050116",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R1931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.